Organization
ASPIRE DEVELOPMENTAL SERVICES, INC.
Active
Other names
North Shore Infant Toddler Program
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI RUSSELL (ACTING EXECUTIVE DIRECTOR)
(781) 593-2727
Entity
Organization
Contact information
Practice address
103 JOHNSON STREET, LYNN, MA 01902
(781) 593-2727
(781) 593-2542
Mailing address
103 JOHNSON STREET, LYNN, MA 01902
(781) 593-2727
(781) 593-2542
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000021538
BMC HEALTHNET PLAN
MA
01
—
0008021
NEIGHBORHOOD NHM & NHP
MA
05
—
1800566
—
MA
01
—
36547
FALLON HEALTH PLAN
MA
01
—
612070
HARVARD PILGRIM HEALTH
MA
01
—
716096
TUFTS
MA
01
—
7903218
AETNA USH
MA
01
—
996264
NETWORK HEALTH PLAN
MA
01
—
EI0022
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/28/2006
Last updated
07/21/2022
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