Individual provider · Type 1 NPI

Gervonia Robinson

Emotionally Disturbed Childrens' Residential Treatment Facility · Gastonia, NC

NPI number 1659842607 Active

Practice location

1714 Aster Ln
Gastonia, NC 28054-8303

Fax (803) 630-0376

Mailing address

13906 Ballantyne Meadows Dr
Charlotte, NC 28277-3727

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Another provider at this address

About NPI 1659842607

Gervonia Robinson's National Provider Identifier is 1659842607, issued on Dec 16, 2018. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Gastonia, NC. The record was last updated on Dec 16, 2018.