Healthcare Provider Details

I. General information

NPI: 1851853097
Provider Name (Legal Business Name): ARUKAH INSTITUTE OF HEALING INC NFP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2019
Last Update Date: 06/08/2021
Certification Date: 06/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 N DALLAS ST
PRINCETON IL
61356-1830
US

IV. Provider business mailing address

5 N DALLAS ST
PRINCETON IL
61356-1830
US

V. Phone/Fax

Practice location:
  • Phone: 815-872-2943
  • Fax:
Mailing address:
  • Phone: 815-872-2943
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. SARAH B SCRUGGS
Title or Position: EXECUTIVE DIRECTOR
Credential: PHD
Phone: 815-872-2943