Organization
ASPIRE INDIANA INC
Active
Other names
BehaviorCorp
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY D CROCKETT (CFO)
(317) 587-0517
Entity
Organization
Contact information
Practice address
9615 E 148TH ST, SUITE 1, NOBLESVILLE, IN 46060-4371
(317) 587-0500
(317) 674-0060
Mailing address
9615 E 148TH ST, SUITE 1, NOBLESVILLE, IN 46060-4371
(317) 587-0500
(317) 674-0060
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100073590F
—
IN
Enumeration date
12/06/2006
Last updated
11/14/2024
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