Provider Demographics
NPI:1043066079
Name:ASPIRE BEHAVIORAL CARE INC
Entity type:Organization
Organization Name:ASPIRE BEHAVIORAL CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ CEO
Authorized Official - Prefix:
Authorized Official - First Name:CRESILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:JAVIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-497-6500
Mailing Address - Street 1:5015 EAGLE ROCK BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90041-2087
Mailing Address - Country:US
Mailing Address - Phone:213-471-2200
Mailing Address - Fax:213-946-5100
Practice Address - Street 1:5015 EAGLE ROCK BLVD STE 200
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90041-2087
Practice Address - Country:US
Practice Address - Phone:213-471-2200
Practice Address - Fax:213-946-5100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-29
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty