| Aspire Clinical Training Center, Llc | |
|
212 Skylar Ct Shamong NJ 08088-9611 | |
| (856) 279-0020 | |
| Not Available |
| Full Name | Aspire Clinical Training Center, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 212 Skylar Ct, Shamong, New Jersey |
| Authorized Official Name and Position | Angela Armendariz (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8562790020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspire Clinical Training Center, Llc 212 Skylar Ct Shamong NJ 08088-9611 Ph: (856) 279-0020 | Aspire Clinical Training Center, Llc 212 Skylar Ct Shamong NJ 08088-9611 Ph: (856) 279-0020 |
| NPI Number | 1083482780 |
|---|---|
| Provider Enumeration Date | 12/13/2023 |
| Last Update Date | 07/01/2024 |
| Certification Date | 07/01/2024 |
| Medicare PECOS PAC ID | 9335581347 |
|---|---|
| Medicare Enrollment ID | O20240522002290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083482780 | NPI | - | NPPES |
| Provider Name | Angela Renee Armendariz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790853158 PECOS PAC ID: 0244672251 Enrollment ID: I20240523003071 |
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