Healthcare Provider Details

I. General information

NPI: 1679258438
Provider Name (Legal Business Name): ASPEN HOPE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2023
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 MIDLAND AVE STE 15B
BASALT CO
81621-8119
US

IV. Provider business mailing address

PO BOX 1115
BASALT CO
81621-1115
US

V. Phone/Fax

Practice location:
  • Phone: 970-925-5858
  • Fax:
Mailing address:
  • Phone: 970-925-5858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KILEY ERLANDSON
Title or Position: ADMIN OPERATIONS COORDINATOR
Credential:
Phone: 970-925-5858