Provider Demographics
NPI:1396495974
Name:ASPIRE AUTISM INC.
Entity type:Organization
Organization Name:ASPIRE AUTISM INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING & ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-888-2561
Mailing Address - Street 1:2929 ARCH ST STE 1700
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-7327
Mailing Address - Country:US
Mailing Address - Phone:888-805-8206
Mailing Address - Fax:855-936-1282
Practice Address - Street 1:330 N 41ST ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-2234
Practice Address - Country:US
Practice Address - Phone:888-805-8206
Practice Address - Fax:855-936-1282
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-03-25
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)