Organization
BROADSTEP-WISCONSIN, INC.
Active
Other names
Oklahoma Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
JULIANNE YOPPS (EXECUTIVE ASSISTANT)
(414) 930-4421
Entity
Organization
Contact information
Practice address
3245 S 24TH ST, MILWAUKEE, WI 53215-4414
(414) 671-6965
Mailing address
5551 N. 51ST BLVD., MILWAUKEE, WI 53128
(414) 527-6970
(414) 527-6971
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
1006139
WI
Other
Enumeration date
07/03/2007
Last updated
05/19/2021
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