NPI: 1780840215
Provider Name: LISA HAWK, MSW, LISW, RPT, P.L.C.
Other Name: LISA HAWK, P.L.C.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization
Specialization: Mental Health (Including Community Mental Health Center)
Address:
1221 PARK PL NE
SUITE G4
CEDAR RAPIDS, IA
ZIP 52402
Phone: (319) 721-1022
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LISA HAWK, MSW, LISW, RPT, P.L.C. is a mental health (including community mental health center) clinic center in Cedar Rapids, IA. LISA HAWK, MSW, LISW, RPT, P.L.C. NPI is 1780840215. The provider is registered as an organization entity type.
The provider Other Name Is Lisa Hawk, P.l.c..
The provider's business location address is:
1221 PARK PL NE
SUITE G4
CEDAR RAPIDS, IA
ZIP 52402-001
Phone: (319) 721-1022
The provider's authorized official is Lisa Hawk .
The authorized official title is Operating Manager and has the following contact phone number (319) 721-1022.
The enumeration date for this NPI number is 8/4/2008 and was last updated on 8/4/2008.