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
6414 W FOND DU LAC AVE, MILWAUKEE, WI 53218-4917
(414) 463-8777
(414) 463-1668
Mailing address
6414 W FOND DU LAC AVE, MILWAUKEE, WI 53218-4917
(414) 463-8777
(414) 463-1668
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/27/2007
Last updated
04/28/2021
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