Broadstep Academy-Illinois INC

NPI #1255535498 in Freeport, Illinois

Provider Information

NPI Number: 1255535498
Entity Type: Organization
Organization Name: Broadstep Academy-Illinois INC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jun 12, 2007
Last Updated: Aug 25, 2021

Practice Location

Address: 730 N BREWSTER AVE
City: Freeport
State: Illinois
ZIP Code: 61032-3113
Phone: (815) 232-1396

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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