NPI 1093913709

Broadstep-Wisconsin, INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Milwaukee, WI

Practice location

Address: 3245 S 24th St, Milwaukee, WI 53215-4414
Phone: (414) 671-6965
Mailing address: 5551 N. 51st Blvd., Milwaukee, WI 53128

Authorised official

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

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 1006139 (WI)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Wisconsin →

Registry record

NPI: 1093913709
Entity type: Organization
NPI issued: 3 Jul 2007
Record last updated: 19 May 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.