Provider Demographics
NPI:1336278928
Name:ASPIRANET
Entity Type:Organization
Organization Name:ASPIRANET
Other - Org Name:ASPIRANET INTENSIVE COMMUNITY SUPPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORE PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BORELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-576-1750
Mailing Address - Street 1:420 E CANAL DR
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95380-3936
Mailing Address - Country:US
Mailing Address - Phone:209-669-2583
Mailing Address - Fax:209-669-2588
Practice Address - Street 1:420 E CANAL DR
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95380-3936
Practice Address - Country:US
Practice Address - Phone:209-669-2583
Practice Address - Fax:209-669-2588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45160251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health