| NPI | 1134327943 |
|---|---|
| Other Name | MANITOBA GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | JULIANNE YOPPS Executive Assistant 414-930-4421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: WI 1004077) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2021-04-28 |