NPI 1851969638

Broadstep-Wisconsin, INC.

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

Practice location

Address: 208 E Haven Dr, Watertown, WI 53094-7319
Phone: (920) 206-9363
Fax: (920) 206-9365
Mailing address: 1205 S 70th St STE 202, West Allis, WI 53214-3167

Authorised official

Name: Julianne Yopps
Title: Executive Assistant
Phone: (414) 920-4421

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1851969638
Entity type: Organization
NPI issued: 16 Jun 2021
Record last updated: 16 Jun 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.