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Organization

HAWK HOUSE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATAELE KAVEINGA (CEO)
(715) 202-3461
Entity
Organization

Contact information

Practice address
15227 W COUNTRY GABLES DR, SURPRISE, AZ 85379-7025
(715) 202-3461
(602) 806-6203
Mailing address
15227 W COUNTRY GABLES DR, SURPRISE, AZ 85379-7025
(715) 202-3461
(602) 806-6203

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
12/29/2020
Last updated
12/29/2020
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