Organization
CREATIVE FAMILY SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA WARD COUNSELOR/CASE MANAG (EXECUTIVE DIRECTOR)
(414) 388-8293
Entity
Organization
Contact information
Practice address
4222 W CAPITOL DR, MILWAUKEE, WI 53216-2500
(414) 388-8293
(414) 249-4658
Mailing address
4620 W CONCORDIA AVE, MILWAUKEE, WI 53216-3350
(414) 388-8293
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
16594-130
WI
302R00000X
Health Maintenance Organization
—
—
Other
Enumeration date
06/06/2012
Last updated
05/01/2015
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