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ASPEN CENTER REHABILITATION & COUNSELING

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Company Details

Name: ASPEN CENTER REHABILITATION & COUNSELING
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 18 Feb 1999 (26 years ago)
Entity Number: 83209
Place of Formation: IDAHO
File Number: 0000083209
ZIP code: 83442
County: Jefferson County
Mailing Address: 136 NTH 3RD W RIGBY, ID 83442

National Provider Identifier

NPI Number:
1760693311

Authorized Person:

Name:
MS. KIM MARIE SIX
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Fax:
2083543602

Filing

Filing Name Filing Number Filing date
Amendment of Certificate of Assumed Business Name 0000690747 1999-06-14
Initial Filing 0000083209 1999-02-18

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Date of last update: 23 Sep 2024

Sources: Idaho Secretary of State