# BROADSTEP-WISCONSIN, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Milford
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316513351
- **Authorized official:** JULIANNE YOPPS (EXECUTIVE ASSISTANT)
- **Authorized official phone:** (414) 930-4421

## Contact information

- **Practice address:** 557 MILFORD ST, WATERTOWN, WI 53094-6033
- **Practice address phone:** (920) 390-4116
- **Practice address fax:** (920) 390-4117
- **Mailing address:** 1205 S 70TH ST STE 202, WEST ALLIS, WI 53214-3167
- **Mailing address phone:** (414) 930-4421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/01/2021
- **Last updated:** 08/10/2021