| NPI | 1528661584 |
|---|---|
| Doing Business As | EAGLE HOUSE LLC |
| Entity Type | Organization |
| Authorized Contact | MATAELE KAVEINGA CEO 715-202-3461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2020-11-20 |