Basic Information
| Provider Information | |||||||||
| NPI: | 1518478676 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | AURORA BEHAVIORAL HEALTHCARE - TEMPE, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6350 S MAPLE AVE | ||||||||
| Address2: | |||||||||
| City: | TEMPE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852832857 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4803455400 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6350 S MAPLE AVE | ||||||||
| Address2: | |||||||||
| City: | TEMPE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852832857 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4803455400 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/17/2017 | ||||||||
| LastUpdateDate: | 10/17/2017 | ||||||||
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| AuthorizedOfficialLastName: | ATTAR | ||||||||
| AuthorizedOfficialFirstName: | HANA | ||||||||
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| AuthorizedOfficialTitleorPosition: | AVP/MANAGING COUNSEL | ||||||||
| AuthorizedOfficialTelephone: | 2489055091 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | AURORA BEHAVIORAL HEALTHCARE - TEMPE, LLC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 283Q00000X | Y | Hospitals | Psychiatric Hospital |
No ID Information.