| NPI | 1417462938 |
|---|---|
| Other Name | ASPIRE ADOLESCENT |
| Entity Type | Organization |
| Authorized Contact | JOHN HOGEBOOM President/CEO 480-831-7566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: AZ OTC6484) |
| Additional Taxonomies | 251S00000X (Licence: AZ OTC6484) |
| 261QP2300X Clinic/Center, Primary Care (Licence: AZ OTC6484) | |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2022-07-14 |