OrganizationActive
Broadstep-Wisconsin, Inc.
NPI 1861060535 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Watertown, WI
Provider details
- NPI number
- 1861060535
- 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
1316/1318 Wakoka Street
Watertown, WI 53094
Phone: (920) 261-7579
Fax: (920) 206-6179
Approximate (ZIP-level) locationGet directions
Mailing address
1205 S 70th St Ste 202
West Allis, WI 53214-3167
Other names (DBA / former)
- Other name
- Wakoka I
Registry dates
- Enumerated
- 2021-06-17
- Last updated
- 2021-06-17
- Certified
- 2021-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.