Organization · Type 2 NPI
Broadstep Academy-Illinois Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Freeport, IL
Practice location
833 S 16th Ave
Freeport, IL 61032-5921
Mailing address
701 W Lamm Rd
Freeport, IL 61032-9630
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 036004 (IL) |
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 1982808895
Broadstep Academy-Illinois Inc's National Provider Identifier is 1982808895, issued on Jun 13, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Freeport, IL. The record was last updated on Aug 25, 2021.