Aim Target Programs, Inc.
Organization Active NPI Addiction (Substance Use Disorder) Counselor · Fort Myers, FL
NPI 1770153751 · NPPES record last updated Jul 3, 2023
Key facts
- NPI
- 1770153751
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Legal business name
- AIM TARGET PROGRAMS, INC.
- Practice address
- 3049 Cleveland Ave Ste 100
Fort Myers, FL 33901-7049 - Phone
- (239) 939-3363
- NPI assigned
- Jun 30, 2021
- Organization subpart
- No
Authorized official
- Name
- Dawn Clark, LMHC, CAP
- Title
- Clinical Director
- Phone
- (239) 939-3363
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2089891 | Aim Target Programs Inc | Certificate of waiver | Jan 11, 2027 |
National Provider Directory
Locations
3049 Cleveland Ave
Ste 100
Fort Myers, FL 33901
Phone (239) 939-3363
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | Yes | ||
| Case Management Agency | 251B00000X |
Addresses
Primary practice location
3049 Cleveland Ave Ste 100
Fort Myers, FL 33901-7049
Mailing address
3049 Cleveland Ave Ste 100
Fort Myers, FL 33901-7049
Phone (239) 939-3363
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ClinicTracker | Direct |
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- Germa Aime
- Carlos Eduardo Aispur
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All providers in Fort Myers, FL · Addiction (Substance Use Disorder) Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.