Organization · NPI-2
Aurora Wellness Group LLC
Substance Abuse Rehabilitation Facility · Northridge, CA
NPI number1700673605
StatusActive
Last updated in NPPESApr 23, 2025
Details
- NPI
- 1700673605
- Entity type
- Organization (NPI-2)
- Legal business name
- Aurora Wellness Group LLC
- Organization subpart
- No
- Enumeration date
- Apr 23, 2025
- Certification date
- Apr 23, 2025
- Last updated
- Apr 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – |
Practice location
17074 Septo StNorthridge, CA 91325-1643
Phone 818-358-5476
Mailing address
17074 Septo StNorthridge, CA 91325-1643
Phone 818-358-5476
Authorized official
Sarkis Altunyan
Ceo
8183585476
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