Organization · NPI-2

Aspen'S Treatment Facility

Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) · Beaumont, TX

NPI number1932573003

StatusActive

Last updated in NPPESNov 30, 2015

Details

NPI: 1932573003
Entity type: Organization (NPI-2)
Legal business name: Aspen'S Treatment Facility
Organization subpart: No
Enumeration date: Nov 30, 2015
Last updated: Nov 30, 2015

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QR0401X	Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	–	–	Yes
101Y00000X	Counselor	–	–
101YA0400X	Counselor, Addiction (Substance Use Disorder)	–	–
101YM0800X	Counselor, Mental Health	–	–
251S00000X	Community/Behavioral Health	–	–
252Y00000X	Early Intervention Provider Agency	–	–
261QC1500X	Clinic/Center, Community Health	–	–
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–
261QM0850X	Clinic/Center, Adult Mental Health	–	–
261QM0855X	Clinic/Center, Adolescent and Children Mental Health	–	–
261QM1300X	Clinic/Center, Multi-Specialty	–	–
261QR0400X	Clinic/Center, Rehabilitation	–	–
261QR0405X	Clinic/Center, Rehabilitation, Substance Use Disorder	–	–
385H00000X	Respite Care	–	–

Practice location

2305 North St
Beaumont, TX 77702-1728

Phone 409-351-3211

Mailing address

Po Box 3342
Spring, TX 77383-3342

Authorized official

Nikisha Nicole Allen
Ceo
4093513211

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