OrganizationActive
Broadstep Academy-Illinois Inc
NPI 1982808895 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Freeport, IL
Provider details
- NPI number
- 1982808895
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Kedrian Coleman, Director Revenue Cycle
- License
- 036004 (IL)
Mailing address
701 W Lamm Rd
Freeport, IL 61032-9630
Registry dates
- Enumerated
- 2007-06-13
- Last updated
- 2021-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.