NPI 1104019868

Broadstep-Wisconsin, INC.

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

Practice location

Address: 10133 - 35 West Kiehnau Avenue, Milwaukee, WI 53224
Phone: (414) 353-5567
Fax: (414) 353-4236

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

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Registry record

NPI: 1104019868
Entity type: Organization
NPI issued: 24 Aug 2007
Record last updated: 28 Apr 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.