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Organization
ASPIRED RESIDENTIAL REHABILITATION GROUP
Active
Organization
ASPIRED RESIDENTIAL REHABILITATION GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERVONIA ROBINSION (CEO)
(984) 221-1140
Entity
Organization
Contact information
Practice address
1714 ASTER LN, GASTONIA, NC 28054-8303
(984) 221-1140
(803) 630-0376
Mailing address
13906 BALLANTYNE MEADOWS DR, CHARLOTTE, NC 28277-3727
(984) 221-1140
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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