OrganizationActive
Broadstep-Wisconsin, Inc.
NPI 1407049455 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Milwaukee, WI
Provider details
- NPI number
- 1407049455
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Julianne Yopps, Executive Assistant(414) 930-4421
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
6105 W Keefe Avenue Pkwy
Milwaukee, WI 53216-2771
Phone: (414) 447-7566
Fax: (414) 447-7528
Approximate (ZIP-level) locationGet directions
Mailing address
6105 W Keefe Avenue Pkwy
Milwaukee, WI 53216-2771
Registry dates
- Enumerated
- 2007-08-23
- Last updated
- 2021-04-28
- Certified
- 2021-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.