Organization
BROOKE RUXTON PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE RUXTON PHD (OWNER)
(515) 508-9992
Entity
Organization
Contact information
Practice address
2385 STOUGHTON CIR, AURORA, IL 60502-6478
(515) 508-9992
Mailing address
2385 STOUGHTON CIR, AURORA, IL 60502-6478
(515) 508-9992
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
071.007643
IL
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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