Broadstep-Wisconsin, Inc.

NPI #1154574739 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1154574739
Entity Type: Organization
Organization Name: Broadstep-Wisconsin, Inc.
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Oct 28, 2008
Last Updated: May 19, 2021

Practice Location

Address: 5554 N 57TH ST
City: Milwaukee
State: Wisconsin
ZIP Code: 53218-3229
Phone: (414) 463-8006

Authorized Official

Name: JULIANNE YOPPS
Title: EXECUTIVE ASSISTANT
Phone: (414) 930-4421

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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