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General NPI Number Information
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NPI Number | 1811162274
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Entity Type | Organization
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Legal Business Name | ASPIRE YOUTH & FAMILY, INC.
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Dates
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Enumeration Date | 04/28/2008
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Last Update Date | 07/22/2013
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Provider Practice Location Address
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Address Line | 33 SHARON LYNNE WAY
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City | CLYDE
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State | NC
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Zip | 28721-8285
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Country | US
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Telephone | 828-627-1329
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Fax | 828-627-1307
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Provider Business Mailing Address
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Address Line | PO BOX 250
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City | BALSAM
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State | NC
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Zip | 28707-0250
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Country | US
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Telephone | 828-627-1329
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Fax | 828-627-1307
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Authorized Official
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Title or Position | EXECUTIVE/CLINICAL DIRECTOR
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Name | MRS. KIMBERLY SUSAN CASTANO
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Credential | LPC, LCAS
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Telephone | 828-226-5533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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