Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center |
| NPI Number | 1073731618 |
| LBN Legal business name | AURORA MEDICAL GROUP, INC. |
| Authorized official | JEFFREY BAILET - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/20/2007 |
| Last updated | 03/24/2008 - About 18 years ago |
| Identifiers | n/a |
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