NPI 1003482027

Broadstep-Wisconsin, INC.

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Watertown, WI

Practice location

Address: 503 Clovercrest CT, Watertown, WI 53094-9701
Phone: (920) 390-4431
Fax: (920) 390-4432
Mailing address: 1205 S 70th St STE 202, Milwaukee, WI 53214-3167

Authorised official

Name: Julianne Yopps
Title: Executive Assistant
Phone: (414) 930-4421

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Wisconsin →

Registry record

NPI: 1003482027
Entity type: Organization
NPI issued: 1 Jun 2021
Record last updated: 1 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.