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Broadstep Academy-illinois Inc
Mental Illness Community Based Residential Treatment Facility in Marengo, Illinois
NPI 1104593565

Broadstep Academy-illinois Inc is a Mental Illness Community Based Residential Treatment Facility based in Raleigh, IL. Broadstep Academy-illinois Inc practices in Marengo, IL. The NPI Number for Broadstep Academy-illinois Inc is 1104593565 and holds a License No. (Illinois).

The current practice location address for Broadstep Academy-illinois Inc is 805 Thornapple Ln, Marengo, IL and can be reached out via phone at 815-568-5323. You can also correspond with Broadstep Academy-illinois Inc through the mailing address at 8521 SIX FORKS RD STE 300, RALEIGH, NC - 27615-5294 (mailing address contact number: 919-709-0197).

Location: 805 Thornapple Ln, Marengo, IL, 27615-5294
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104593565
Provider Name
Broadstep Academy-illinois Inc
Credential
Provider Entity Type
Organization
Address
805 Thornapple Ln, Marengo, IL, 27615-5294
Phone Number
815-568-5323
Fax Number
Provider Enumeration Date
08/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
805 Thornapple Ln
City
Marengo
State
Illinois
Zip
60152-3414
Phone Number
815-568-5323
Fax Number
person
Provider Business Mailing Address Details
Address
8521 Six Forks Rd Ste 300
City
Raleigh
State
North Carolina
Zip
27615-5294
Phone Number
919-709-0197
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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