OrganizationActive
Iris Manor
NPI 1790140382 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Wauwatosa, WI
Provider details
- NPI number
- 1790140382
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Cynthia Soto, Billing(414) 315-0429
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
2339 N 60th St
Wauwatosa, WI 53210-2220
Phone: (414) 778-1222
Fax: (414) 778-1002
Approximate (ZIP-level) locationGet directions
Mailing address
2339 N 60th St
Wauwatosa, WI 53210-2220
Registry dates
- Enumerated
- 2015-12-23
- Last updated
- 2015-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.