Organization
RED HAWK BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIUTA S FAAOOTOA (OWNER/MEMBER)
(435) 236-5424
Entity
Organization
Contact information
Practice address
3767 SOUTH SCENIC BLVD, LITTLEFIELD, AZ 86432
(435) 236-5423
Mailing address
748 E 900 S, ST GEORGE, UT 84790-5543
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH5273
AZ
Other
Enumeration date
10/31/2017
Last updated
11/06/2017
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