Organization · Type 2 NPI
Broadstep Academy-Illinois Inc
Mental Illness Community Based Residential Treatment Facility · Marengo, IL
NPI number
1104593565
Active
Practice location
805 Thornapple Ln
Marengo, IL 60152-3414
Mailing address
8521 Six Forks Rd Ste 300
Raleigh, NC 27615-5294
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Other mental illness community based residential treatment facility providers in Marengo
About NPI 1104593565
Broadstep Academy-Illinois Inc's National Provider Identifier is 1104593565, issued on Aug 24, 2021. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Marengo, IL. The record was last updated on Aug 25, 2021.