Healthcare Provider Details

I. General information

NPI: 1205620408
Provider Name (Legal Business Name): ASPIRE BEHAVIORAL HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2025
Last Update Date: 04/04/2025
Certification Date: 04/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 WOLF CREEK BLVD STE 1
DOVER DE
19901-4969
US

IV. Provider business mailing address

111 WOLF CREEK BLVD STE 1
DOVER DE
19901-4969
US

V. Phone/Fax

Practice location:
  • Phone: 302-883-2059
  • Fax: 302-883-3801
Mailing address:
  • Phone: 302-883-2059
  • Fax: 302-883-3801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code276400000X
TaxonomySubstance Use Disorder Rehabilitation Hospital Unit
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. RICHARD ASAH NKWETTA
Title or Position: CEO
Credential: PMHNP-BC
Phone: 302-883-2059