NPI | 1366131302 |
---|---|
Other Name | ASPEN DEVELOPMENTAL SERVICES |
Entity Type | Organization |
Authorized Contact | MATTHEW FRANCIS SMITH Administrator 208-534-8303 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2023-05-04 |
Last Update Date | 2023-05-04 |