Organization
ASPIRE TREATMENT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD KIARIE (OWNER)
(508) 963-8792
Entity
Organization
Contact information
Practice address
3710 SE 136TH AVE, PORTLAND, OR 97236-2932
(508) 963-8792
Mailing address
3710 SE 136TH AVE, PORTLAND, OR 97236-2932
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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