Organization
CREATIVE CHALLENGE OUTREACH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS VIVIAN MARIE HOUSTON M.S., PHD (DIRECTOR/PSYCHOTHERAPIST)
(414) 736-9882
Entity
Organization
Contact information
Practice address
3252 N 1ST ST, MILWAUKEE, WI 53212-2061
(414) 264-4522
(414) 264-2316
Mailing address
3252 N 1ST ST, MILWAUKEE, WI 53212-2061
(414) 264-4522
(414) 264-2316
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
590-226
WI
Other
Enumeration date
01/05/2011
Last updated
06/20/2018
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