Provider Demographics
NPI:1639550163
Name:AURORA BEHAVIORAL HEALTH
Entity type:Organization
Organization Name:AURORA BEHAVIORAL HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FOUNDER & CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAPPHO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:212-222-6162
Mailing Address - Street 1:200 W 86TH ST APT 1M
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-3325
Mailing Address - Country:US
Mailing Address - Phone:212-222-6162
Mailing Address - Fax:212-222-6114
Practice Address - Street 1:200 W 86TH ST APT 1M
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-3325
Practice Address - Country:US
Practice Address - Phone:212-222-6162
Practice Address - Fax:212-222-6114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-10
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty