Provider Demographics
NPI:1811162274
Name:ASPIRE YOUTH & FAMILY, INC.
Entity type:Organization
Organization Name:ASPIRE YOUTH & FAMILY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE/CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:SUSAN
Authorized Official - Last Name:CASTANO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LCAS
Authorized Official - Phone:828-226-5533
Mailing Address - Street 1:PO BOX 250
Mailing Address - Street 2:
Mailing Address - City:BALSAM
Mailing Address - State:NC
Mailing Address - Zip Code:28707-0250
Mailing Address - Country:US
Mailing Address - Phone:828-627-1329
Mailing Address - Fax:828-627-1307
Practice Address - Street 1:33 SHARON LYNNE WAY
Practice Address - Street 2:
Practice Address - City:CLYDE
Practice Address - State:NC
Practice Address - Zip Code:28721-8285
Practice Address - Country:US
Practice Address - Phone:828-627-1329
Practice Address - Fax:828-627-1307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-28
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health