Provider Demographics
NPI:1568766798
Name:ASPIRE RESOURCES LLC
Entity Type:Organization
Organization Name:ASPIRE RESOURCES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:BROOKS
Authorized Official - Last Name:MUNRO
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:912-414-0245
Mailing Address - Street 1:PO BOX 61454
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31420-1454
Mailing Address - Country:US
Mailing Address - Phone:912-414-0245
Mailing Address - Fax:
Practice Address - Street 1:110 W 76TH ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-6808
Practice Address - Country:US
Practice Address - Phone:912-414-0245
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-03
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health