Hawks Landing of Idaho LLC

NPI #1235758897 in Bonners Ferry, Idaho

Provider Information

NPI Number
1235758897
Entity Type
Organization
Organization Name
Hawks Landing of Idaho LLC
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
Apr 14, 2020
Last Updated
Apr 14, 2020

Practice Location

Address
222 NIGHTHAWK RD
State
Idaho
ZIP Code
83805-5441
Phone
(208) 946-7005

Authorized Official

Name
MRS. SARA ELIZABETH TADLOCK
Title
COO
Phone
(208) 255-9460

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Emotionally Disturbed Children

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