Provider Demographics
NPI:1205407848
Name:AURORA PROJECT ASSOCIATES LLC
Entity Type:Organization
Organization Name:AURORA PROJECT ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERIM CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:BATTEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, AADC
Authorized Official - Phone:814-925-2330
Mailing Address - Street 1:9500 ROOSEVELT WAY NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-2252
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:859 ALDERSON ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSON
Practice Address - State:WV
Practice Address - Zip Code:25661-3215
Practice Address - Country:US
Practice Address - Phone:304-236-5902
Practice Address - Fax:305-686-0110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-06
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV1336644111Medicaid