| Aspire Aba, Llc | |
|
604 North Ave Bismarck ND 58501-1727 | |
| (701) 226-2061 | |
| Not Available |
| Full Name | Aspire Aba, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 604 North Ave, Bismarck, North Dakota |
| Authorized Official Name and Position | Jacquelyn Mahoney (OWNER) |
| Authorized Official Contact | 7012262061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspire Aba, Llc 604 North Ave Bismarck ND 58501-1727 Ph: (701) 226-2061 | Aspire Aba, Llc 604 North Ave Bismarck ND 58501-1727 Ph: (701) 226-2061 |
| NPI Number | 1952961906 |
|---|---|
| Provider Enumeration Date | 06/20/2019 |
| Last Update Date | 06/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952961906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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