Organization
ASPIRE 4 LIFE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NILDA PEREZ LCSW-R (CEO - FOUNDER)
(914) 443-7063
Entity
Organization
Contact information
Practice address
281 GREEVES RD, NEW HAMPTON, NY 10958-3927
(914) 443-7063
Mailing address
281 GREEVES RD, NEW HAMPTON, NY 10958-3927
(914) 443-7063
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
NY
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
NY
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NY
Other
Enumeration date
03/26/2010
Last updated
03/26/2010
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