Organization
BROADSTEP-WISCONSIN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIANNE YOPPS (EXECUTIVE ASSISTANT)
(414) 930-4421
Entity
Organization
Contact information
Practice address
4901 N 106TH ST, MILWAUKEE, WI 53225-3925
(414) 466-2124
(414) 466-3829
Mailing address
4901 N 106TH ST, MILWAUKEE, WI 53225-3925
(414) 466-2124
(414) 466-3829
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/20/2007
Last updated
04/28/2021
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