Broadstep Academy-Illinois INC

NPI #1093919797 in Freeport, Illinois

Provider Information

NPI Number: 1093919797
Entity Type: Organization
Organization Name: Broadstep Academy-Illinois INC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jun 14, 2007
Last Updated: Aug 25, 2021

Practice Location

Address: 239 WINNEFRED ST.
City: Freeport
State: Illinois
ZIP Code: 61032
Phone: (815) 235-8071

Authorized Official

Name: KEDRIAN COLEMAN
Title: DIRECTOR REVENUE CYCLE
Phone: (919) 709-0197

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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