NPI 1316513351
Broadstep-Wisconsin, INC.
Practice location
- Address
- 557 Milford St, Watertown, WI 53094-6033
- Phone
- (920) 390-4116
- Fax
- (920) 390-4117
- Mailing address
- 1205 S 70th St STE 202, West Allis, WI 53214-3167
Authorised official
- Name
- Julianne Yopps
- Title
- Executive Assistant
- Phone
- (414) 930-4421
Registered specialties (2)
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Assisted Living Facility (Behavioral Disturbances)
Registry record
- NPI
- 1316513351
- Entity type
- Organization
- NPI issued
- 1 Jun 2021
- Record last updated
- 10 Aug 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.