Organization · Type 2 NPI

Broadstep-Wisconsin, Inc.

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Milwaukee, WI

NPI number 1790978153 Active

Practice location

5734 N 94th St
Milwaukee, WI 53225-2604

Call (414) 462-7117 Map

Fax (414) 462-9727

Mailing address

5551 N. 51st Blvd.
Milwaukee, WI 53218

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 1790978153

Broadstep-Wisconsin, Inc.'s National Provider Identifier is 1790978153, issued on Aug 20, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Milwaukee, WI. The record was last updated on May 19, 2021.