Aspire Riverdale Brookhaven LLC

NPI #1750019642 in Riverdale, Utah

Provider Information

NPI Number: 1750019642
Entity Type: Organization
Organization Name: Aspire Riverdale Brookhaven LLC
Primary Specialty: Counselor
Enumeration Date: Aug 10, 2022
Last Updated: Aug 10, 2022

Practice Location

Address: 4933 S 1500 W STE 200
City: Riverdale
State: Utah
ZIP Code: 84405-7738
Phone: (801) 525-4645

Authorized Official

Name: MARLENE KINIKINI
Title: PRESIDENT
Phone: (801) 628-5577

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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