Organization · NPI-2

Aurora Therapeutic Services, LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Palmer, AK

NPI number1902519663
StatusActive
Last updated in NPPESDec 27, 2022

Details

NPI
1902519663
Entity type
Organization (NPI-2)
Legal business name
Aurora Therapeutic Services, LLC
Organization subpart
No
Enumeration date
Dec 27, 2022
Certification date
Dec 27, 2022
Last updated
Dec 27, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

1901 N Hemmer Rd Ste 208
Palmer, AK 99645-9690

Phone 907-531-0585

Mailing address

5747 E Fetlock Dr
Wasilla, AK 99654-8408

Phone 907-521-2272

Authorized official

Theresa Hudgins
Owner
9075310585

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