Provider Demographics
NPI:1780854851
Name:ASPIRE BEHAVIORAL HEALTH OF COLORADO, LLC
Entity Type:Organization
Organization Name:ASPIRE BEHAVIORAL HEALTH OF COLORADO, LLC
Other - Org Name:ASPIRE BEHAVIORAL HEALTH OF COLORADO, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LORA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-877-5670
Mailing Address - Street 1:10475 PARK MEADOWS DR
Mailing Address - Street 2:SUITE 600
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-5433
Mailing Address - Country:US
Mailing Address - Phone:303-877-5670
Mailing Address - Fax:
Practice Address - Street 1:8140 E 5TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80230-6492
Practice Address - Country:US
Practice Address - Phone:303-479-0888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASPIRE BEHAVIORAL HEALTH OF COLORADO, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-03-05
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital