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
2558 SOUTH 68TH STREET, MILWAUKEE, WI 53219
(414) 327-7510
(414) 327-7569
Mailing address
2858 S 68TH ST, MILWAUKEE, WI 53219-2903
(414) 327-7510
(414) 327-7569
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/21/2007
Last updated
04/28/2021
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