Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI # | 1902356181 |
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| LBN Legal business name | ASPIRE ICT, LLC | ||||
| Authorized official | ALICIA LANDRUM - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 10/11/2016 | ||||
| Last updated | 04/15/2024 - About 2 years ago | ||||
| Identifiers |
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