Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI # | 1467261172 |
| LBN Legal business name | ASPIRE COMMUNITY WELLNESS CONSORTIUM |
| Authorized official | AKILI BANJO-YEBOAH - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/07/2025 |
| Last updated | 01/07/2025 - More than a year ago |
| Identifiers | n/a |
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