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BROADSTEP ACADEMY-ILLINOIS INC 1154098432

Overview
Name: BROADSTEP ACADEMY-ILLINOIS INC Specialty: Mental Illness Community Based Residential Treatment Facility Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Residential Treatment Facilities Classification: Community Based Residential Treatment Facility, Mental Illness Specialization: . Definition of Specialty: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: BROADSTEP ACADEMY-ILLINOIS INC,150 POSSUM PASS CT,SHERMAN,IL,626849466,US Mailing Address: BROADSTEP ACADEMY-ILLINOIS INC,8521 SIX FORKS RD STE 300,RALEIGH,NC,276155294,US
Contact #
Practice location phone #: 2174962433 Practice location fax #: Mailing address Phone #: 9197090197 Mailing Address fax #: Authorized official Name/Telephone #:KEDRIAN, COLEMAN, DIRECTOR REVENUE CYCLE 9197090197
Misc
Date NPI was obtained: 08/25/2021 Last data data was updated: 08/25/2021 Insurances:

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