Organization
AURORA BEHAVIORAL HEALTHCARE - SANTA ROSA, LLC
Active
Other names
Aurora Santa Rosa
Organization subpart
No
Provider details
NPI number
Authorized official
SOON K KIM M.D. (OWNER)
(248) 905-5091
Entity
Organization
Contact information
Practice address
1287 FULTON RD., SANTA ROSA, CA 95401-4923
(707) 800-7700
(707) 800-7797
Mailing address
1287 FULTON RD., SANTA ROSA, CA 95401-4923
(707) 800-7700
(707) 800-7797
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922378215
—
CA
Enumeration date
01/04/2012
Last updated
10/02/2014
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