Organization
ASPIRING ANEW GENERATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA STANFORD (FOUNDER)
(480) 799-5345
Entity
Organization
Contact information
Practice address
8607 N 59TH AVE, GLENDALE, AZ 85302-5433
(480) 799-5345
Mailing address
8607 N 59TH AVE, GLENDALE, AZ 85302-5433
(480) 799-5345
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Enumeration date
12/04/2021
Last updated
12/04/2021
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