Healthcare Provider Details

I. General information

NPI: 1710879838
Provider Name (Legal Business Name): ASPIRE RECOVERY GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2025
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1391 MAIN ST UNIT B
WALPOLE MA
02081-1707
US

IV. Provider business mailing address

1391 MAIN ST UNIT B
WALPOLE MA
02081-1707
US

V. Phone/Fax

Practice location:
  • Phone: 508-664-6664
  • Fax: 617-250-8262
Mailing address:
  • Phone: 508-664-6664
  • Fax: 617-250-8262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: BETTY YU
Title or Position: MANAGER
Credential: NP
Phone: 508-664-6664