ASPEN BEHAVIORAL HEALTH LLC NPI 1750991923

NPI Information

NPI: 1750991923
Provider Name: ASPEN BEHAVIORAL HEALTH LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 10D2216097

Address:
900 OSCEOLA DRIVE
SUITE 200,300,108
WEST PALM BEACH, FL
ZIP 33409
Phone: (833) 737-0963
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ASPEN BEHAVIORAL HEALTH LLC is a rehabilitation and substance use disorder clinic center in West Palm Beach, FL. ASPEN BEHAVIORAL HEALTH LLC NPI is 1750991923. The provider is registered as an organization entity type.

The provider's business location address is:

900 OSCEOLA DRIVE
SUITE 200,300,108
WEST PALM BEACH, FL
ZIP 33409-075
Phone: (833) 737-0963
Fax: (561) 532-0050

The provider's authorized official is Bianca S Gerena .
The authorized official title is Credentialing And Ur and has the following contact phone number (561) 502-4720.

The CLIA number assigned to this NPI record is 10D2216097 - other - substance abuse treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/3/2020 and was last updated on 8/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	324500000X	Substance Abuse Rehabilitation Facility				No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	623212	OTHER		THE JOINT COMMISSION
2	LIC-1047580	OTHER	FLORIDA	DEPARTMENT OF CHILDREN AND FAMILIES
3	LIC-1047579	OTHER	FLORIDA	DEPARTMENT OF CHILDREN AND FAMILIES
4	LIC-1047581	OTHER	FLORIDA	DEPARTMENT OF CHILDREN AND FAMILIES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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