Our Space, INC.
Counselor, Addiction (Substance Use Disorder) in Milwaukee, WI. Organization (NPI-2).
NPI number1003274697
StatusActive
Last updated in NPPESMar 18, 2026
Details
- NPI
- 1003274697
- Entity type
- Organization (NPI-2)
- Legal business name
- Our Space, INC.
- Organization subpart
- No
- Enumeration date
- Feb 10, 2016
- Certification date
- Mar 18, 2026
- Last updated
- Mar 18, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 225XM0800X | Occupational Therapist, Mental Health | – | – |
Practice location
1527 W National AveMilwaukee, WI 53204-2141
Phone 414-383-8921 · Fax 414-383-9016
Mailing address
1527 W National AveMilwaukee, WI 53204-2141
Phone 414-383-8921 · Fax 414-383-9016
Authorized official
Nora Hitchcock
Executive Director
4143838921
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