Broadstep Academy-Illinois INC

NPI #1922775212 in Chatham, Illinois

Provider Information

NPI Number: 1922775212
Entity Type: Organization
Organization Name: Broadstep Academy-Illinois INC
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Aug 25, 2021
Last Updated: Aug 25, 2021

Practice Location

Address: 620 GARVEY LN
City: Chatham
State: Illinois
ZIP Code: 62629-5086
Phone: (217) 697-8422

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, Mental Illness	320800000X	Primary

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