Organization
ASPIRO ADVENTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE THOMA (CFO)
(801) 703-4480
Entity
Organization
Contact information
Practice address
695 W WAKARA AVE, MT PLEASANT, UT 84647
(801) 349-2740
Mailing address
63 E 11400 S, #186, SANDY, UT 84070
(801) 349-2740
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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