Organization
ASPIRE DEVELOPMENTAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RODRIGUEZ (EXECUTIVE DIRECTOR)
(575) 910-1333
Entity
Organization
Contact information
Practice address
2603 W 25TH ST, ROSWELL, NM 88201-8878
(575) 910-1333
Mailing address
2603 W 25TH ST, ROSWELL, NM 88201-8878
(575) 910-1333
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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