Broadstep-Wisconsin, Inc.

NPI #1174716518 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1174716518
Entity Type: Organization
Organization Name: Broadstep-Wisconsin, Inc.
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Aug 20, 2007
Last Updated: Apr 28, 2021

Practice Location

Address: 6328 W CHAMBERS ST
City: Milwaukee
State: Wisconsin
ZIP Code: 53210-1456
Phone: (414) 444-2606

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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