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NPI 1205620408

NPI 1205620408 : ASPIRE BEHAVIORAL HEALTH INC : DOVER, DE

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General NPI Number Information
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    NPI Number           |    1205620408
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    Entity Type          |    Organization 
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    Legal Business Name  |    ASPIRE BEHAVIORAL HEALTH INC 
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Dates
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    Enumeration Date     |    04/04/2025
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    Last Update Date     |    04/04/2025
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Provider Practice Location Address
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    Address Line         |    111 WOLF CREEK BLVD STE 1 
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    City                 |    DOVER
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    State                |    DE
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    Zip                  |    19901-4969
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    Country              |    US
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    Telephone            |    302-883-2059
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    Fax                  |    302-883-3801
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Provider Business Mailing Address
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    Address Line         |    111 WOLF CREEK BLVD STE 1 
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    City                 |    DOVER
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    State                |    DE
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    Zip                  |    19901-4969
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    Country              |    US
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    Telephone            |    302-883-2059
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    Fax                  |    302-883-3801
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MR. RICHARD ASAH NKWETTA 
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    Credential           |    PMHNP-BC
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    Telephone            |    302-883-2059
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QM0855X
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    Taxonomy Name        |    Adolescent and Children Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    276400000X
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    Taxonomy Name        |    Substance Use Disorder Rehabilitation Hospital Unit
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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