| Aspire Network Inc Professional Service Corporation Aspire Network | |
|
5701 Kentucky Ave N Ste 100 Crystal MN 55428-3370 | |
| (763) 202-4767 | |
| Not Available |
| Full Name | Aspire Network Inc Professional Service Corporation Aspire Network |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5701 Kentucky Ave N Ste 100, Crystal, Minnesota |
| Authorized Official Name and Position | Edwin Nyumah Swaray (CEO) |
| Authorized Official Contact | 7632024767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspire Network Inc Professional Service Corporation Aspire Network 5701 Kentucky Ave N Ste 100 Crystal MN 55428-3370 Ph: (763) 202-4767 | Aspire Network Inc Professional Service Corporation Aspire Network 5701 Kentucky Ave N Ste 100 Crystal MN 55428-3370 Ph: (763) 202-4767 |
| NPI Number | 1104586874 |
|---|---|
| Provider Enumeration Date | 12/22/2021 |
| Last Update Date | 12/22/2021 |
| Certification Date | 12/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104586874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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