# ASPIRED RESIDENTIAL REHABILITATION GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609349430
- **Authorized official:** GERVONIA ROBINSION (CEO)
- **Authorized official phone:** (984) 221-1140

## Contact information

- **Practice address:** 1714 ASTER LN, GASTONIA, NC 28054-8303
- **Practice address phone:** (984) 221-1140
- **Practice address fax:** (803) 630-0376
- **Mailing address:** 13906 BALLANTYNE MEADOWS DR, CHARLOTTE, NC 28277-3727
- **Mailing address phone:** (984) 221-1140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 01/04/2019
- **Last updated:** 01/04/2019