Provider Demographics
NPI:1023366796
Name:ASPEN DAY TREATMENT, LLC
Entity Type:Organization
Organization Name:ASPEN DAY TREATMENT, LLC
Other - Org Name:ASPEN DAY TREATMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:LAFFERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-242-0920
Mailing Address - Street 1:1634 SULPHUR SPRING RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21227-2539
Mailing Address - Country:US
Mailing Address - Phone:410-242-0920
Mailing Address - Fax:410-242-0924
Practice Address - Street 1:1634 SULPHUR SPRING RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21227-2539
Practice Address - Country:US
Practice Address - Phone:410-242-0920
Practice Address - Fax:410-242-0924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-28
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health