Provider Demographics
NPI:1790352482
Name:ARUKAH INSTITUTE OF HEALING INC NFP
Entity Type:Organization
Organization Name:ARUKAH INSTITUTE OF HEALING INC NFP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZING OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:B
Authorized Official - Last Name:SCRUGGS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:815-872-2943
Mailing Address - Street 1:535 ELM PL STE 7
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:IL
Mailing Address - Zip Code:61356-1458
Mailing Address - Country:US
Mailing Address - Phone:815-872-2943
Mailing Address - Fax:815-915-8756
Practice Address - Street 1:535 ELM PL STE 7
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:IL
Practice Address - Zip Code:61356-1458
Practice Address - Country:US
Practice Address - Phone:815-872-2943
Practice Address - Fax:815-915-8756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-09
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder