Organization
ASPIRE COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED MOHAMUD MOHAMED (CEO)
(619) 817-1936
Entity
Organization
Contact information
Practice address
8607 N 59TH AVE, GLENDALE, AZ 85302-5433
(619) 817-1936
Mailing address
8607 N 59TH AVE, GLENDALE, AZ 85302-5433
(619) 817-1936
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106S00000X
Behavior Technician
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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