Organization · NPI-2

Aspired Residential Rehabilitation Group

Residential Treatment Facility, Emotionally Disturbed Children · Gastonia, NC

NPI number1609349430
StatusActive
Last updated in NPPESJan 4, 2019

Details

NPI
1609349430
Entity type
Organization (NPI-2)
Legal business name
Aspired Residential Rehabilitation Group
Organization subpart
No
Enumeration date
Jan 4, 2019
Last updated
Jan 4, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
322D00000X Residential Treatment Facility, Emotionally Disturbed Children––Yes

Practice location

1714 Aster Ln
Gastonia, NC 28054-8303

Phone 984-221-1140 · Fax 803-630-0376

Mailing address

13906 Ballantyne Meadows Dr
Charlotte, NC 28277-3727

Phone 984-221-1140

Authorized official

Gervonia Robinsion
Ceo
9842211140

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