NPI 1154574739

Broadstep-Wisconsin, INC.

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

Practice location

Address: 5554 N 57th St, Milwaukee, WI 53218-3229
Phone: (414) 463-8006
Mailing address: 5551 N. 51st Blvd, Milwaukee, WI 53218

Authorised official

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

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1154574739
Entity type: Organization
NPI issued: 28 Oct 2008
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.