Organization · Type 2 NPI

Broadstep-Wisconsin, Inc.

Emotionally Disturbed Childrens' Residential Treatment Facility · Milwaukee, WI

NPI number 1093913709 Active

Practice location

3245 S 24th St
Milwaukee, WI 53215-4414

Mailing address

5551 N. 51st Blvd.
Milwaukee, WI 53128

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X1006139 (WI)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1093913709

Broadstep-Wisconsin, Inc.'s National Provider Identifier is 1093913709, issued on Jul 3, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Milwaukee, WI. The record was last updated on May 19, 2021.