Organization
AURORA THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIKTORIA KOVALIS ADMINISTRATOR (PROGRAM SPONSOR)
(303) 942-0740
Entity
Organization
Contact information
Practice address
15501 E 13TH AVE, AURORA, CO 80011-7203
(303) 942-0740
Mailing address
7367 S TEMPE CT, AURORA, CO 80016-3615
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
09/20/2021
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