Hawk House LLC

NPI #1851988414 in Surprise, Arizona

Provider Information

NPI Number: 1851988414
Entity Type: Organization
Organization Name: Hawk House LLC
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Dec 29, 2020
Last Updated: Dec 29, 2020

Practice Location

Address: 15227 W COUNTRY GABLES DR
City: Surprise
State: Arizona
ZIP Code: 85379-7025
Phone: (715) 202-3461

Authorized Official

Name: MATAELE KAVEINGA
Title: CEO
Phone: (715) 202-3461

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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