Organization · Type 2 NPI
Broadstep-Wisconsin, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Watertown, WI
Practice location
503 Clovercrest Ct
Watertown, WI 53094-9701
Fax (920) 390-4432
Mailing address
1205 S 70th St Ste 202
Milwaukee, WI 53214-3167
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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About NPI 1003482027
Broadstep-Wisconsin, Inc.'s National Provider Identifier is 1003482027, issued on Jun 1, 2021. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Watertown, WI. The record was last updated on Jun 1, 2021.