Healthcare Provider Details
I. General information
NPI: 1487950358
Provider Name (Legal Business Name): ASPIRO GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/09/2011
Last Update Date: 02/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3253 W 11975 S
RIVERTON UT
84065-2410
US
IV. Provider business mailing address
3253 W 11975 S
RIVERTON UT
84065-2410
US
V. Phone/Fax
- Phone: 801-349-2740
- Fax: 801-460-0444
- Phone: 801-349-2740
- Fax: 801-460-0444
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 322D00000X |
| Taxonomy | Emotionally Disturbed Childrens' Residential Treatment Facility |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 324500000X |
| Taxonomy | Substance Abuse Rehabilitation Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JANET
R
ROBINSON
Title or Position: ADMINISTRATIVE DIRECTOR
Credential:
Phone: 801-979-6304