NPI 1134327943

Broadstep-Wisconsin, INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Milwaukee, WI

Practice location

Address: 3018 S 9th St, Milwaukee, WI 53215-3944
Phone: (414) 483-0156
Fax: (414) 747-4760

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 1004077 (WI)

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Registry record

NPI: 1134327943
Entity type: Organization
NPI issued: 3 Jul 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.