Organization · Type 2 NPI

Broadstep-Wisconsin, Inc.

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

NPI number 1952979627 Active

Practice location

1320/1322 Wakoka Street
Watertown, WI 53094

Call (920) 261-9917 Map

Fax (920) 261-9918

Mailing address

1205 S 70th St Ste 202
West Allis, 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 1952979627

Broadstep-Wisconsin, Inc.'s National Provider Identifier is 1952979627, issued on Jun 17, 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 17, 2021.