NPI | 1730719394 |
---|---|
Other Name | ASPIRE365, LLC |
Entity Type | Organization |
Authorized Contact | KEN A JENSON Manager 719-229-2046 |
Organization Subpart ? | No |
Primary Taxonomy | 2083A0300X Preventive Medicine Addiction Medicine |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
103TA0400X Psychologist Addiction (Substance Use Disorder) | |
163WA0400X Registered Nurse Addiction (Substance Use Disorder) | |
207QA0401X Family Medicine Addiction Medicine | |
2084A0401X Psychiatry & Neurology Addiction Medicine | |
Enumeration Date | 2020-01-23 |
Last Update Date | 2024-10-14 |