Healthcare Provider Details

I. General information

NPI: 1235995325
Provider Name (Legal Business Name): ASPIRE BEHAVIORAL HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2024
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8542 E INDIGO ST
MESA AZ
85207-3187
US

IV. Provider business mailing address

8542 E INDIGO ST
MESA AZ
85207-3187
US

V. Phone/Fax

Practice location:
  • Phone: 480-875-6178
  • Fax:
Mailing address:
  • Phone: 480-875-6178
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: ANNE VAUGHAN-WILLIAMS
Title or Position: MEMBER
Credential:
Phone: 480-875-6871