Organization · Type 2 NPI
Aspire 365 Colorado LLC
Addiction Medicine (Preventive Medicine) Physician · Palmer Lake, CO
NPI number
1730719394
Active
Practice location
755 Highway 105 Ste D
Palmer Lake, CO 80133-8902
Mailing address
9350 S 150 E Ste 320
Sandy, UT 84070-2707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | None listed |
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | None listed |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | None listed |
| Addiction Medicine (Preventive Medicine) Physician Primary | 2083A0300X | None listed |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | None listed |
Addiction Medicine (Preventive Medicine) Physician: A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
3 other providers at this address
About NPI 1730719394
Aspire 365 Colorado LLC's National Provider Identifier is 1730719394, issued on Jan 23, 2020. The primary taxonomy on file is Addiction Medicine (Preventive Medicine) Physician (2083A0300X), and the practice location is in Palmer Lake, CO. The record was last updated on Oct 14, 2024.