Organization
AURORA BEHAVIORAL HEALTHCARE - MONTE VISTA, LLC
Active
Parent organization
SIGNATURE HEALTHCARE SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SIGNATURE HEALTHCARE SERVICES, LLC
Authorized official
DR. SOON K KIM M.D. (SOLE MEMBER)
(248) 905-5091
Entity
Organization
Contact information
Practice address
5900 W ROCHELLE AVE, LAS VEGAS, NV 89103-3304
(248) 905-5091
(248) 905-5096
Mailing address
29433 SOUTHFIELD RD, SUITE 201, SOUTHFIELD, MI 48076-2031
(248) 905-5091
(248) 905-5096
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
05/24/2011
Last updated
05/25/2011
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