Organization
BROADSTEP-WISCONSIN, INC.
Active
Other names
Underwood Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
JULIANNE YOPPS (EXECUTIVE ASSISTANT)
(414) 930-4421
Entity
Organization
Contact information
Practice address
3146 E UNDERWOOD AVE, CUDAHY, WI 53110-1822
(414) 489-7587
(414) 489-7591
Mailing address
5551 N. 51ST BLVD., MILWAUKEE, WI 53218
(414) 527-6970
(414) 527-6971
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/20/2007
Last updated
05/19/2021
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