| Aurora-recovery, Llc | |
|
7529 Warren Sharon Rd Brookfield OH 44403-9796 | |
| (740) 415-1138 | |
| (201) 661-2846 |
| Full Name | Aurora-recovery, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 7529 Warren Sharon Rd, Brookfield, Ohio |
| Authorized Official Name and Position | Bryan Casey (PRESIDENT) |
| Authorized Official Contact | 7404151138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aurora-recovery, Llc 26261 Main St Apt 2 Coolville OH 45723-9205 Ph: (740) 415-1138 | Aurora-recovery, Llc 7529 Warren Sharon Rd Brookfield OH 44403-9796 Ph: (740) 415-1138 |
| NPI Number | 1962049684 |
|---|---|
| Provider Enumeration Date | 12/02/2019 |
| Last Update Date | 10/22/2024 |
| Certification Date | 10/22/2024 |
| Medicare PECOS PAC ID | 0840637575 |
|---|---|
| Medicare Enrollment ID | O20240318001545 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962049684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Secondary |
| Provider Name | Timothy Maxwell Liles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376062992 PECOS PAC ID: 2163884818 Enrollment ID: I20230814000837 |
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