Organization · Type 2 NPI

Broadstep Academy-Illinois Inc

Mental Illness Community Based Residential Treatment Facility · Sycamore, IL

NPI number 1154098515 Active

Practice location

1761 Woodgate Dr
Sycamore, IL 60178-2770

Call (815) 517-0355 Map

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.

Another provider at this address

Bethesda Lutheran Homes & ServicesIntellectual Disabilities Intermediate Care Facility Sycamore, IL NPI 1265687065

NPI record

NPI: 1154098515
Entity type: Organization (Type 2)
Issued: Aug 24, 2021
Last updated: Aug 25, 2021
Status: Active

Other names

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Broadstep Academy-Illinois Inc · doing business as
Broadstep Academy-Illinois Inc · doing business as

Authorized official

Kedrian Coleman
Director Revenue Cycle
(919) 709-0197

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About NPI 1154098515

Broadstep Academy-Illinois Inc's National Provider Identifier is 1154098515, 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 Sycamore, IL. The record was last updated on Aug 25, 2021.