Organization
THE UMBRELLA GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISHONDA PATRICK (EXECUTIVE DIRECTOR)
(336) 697-9310
Entity
Organization
Contact information
Practice address
4308 BRITLEY COURT, GREENSBORO, NC 27406-8554
(336) 697-9310
(336) 697-5423
Mailing address
5710 K HIGH POINT RD, STE 258, GREENSBORO, NC 27407-8554
(336) 697-9310
(336) 697-5423
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL041903
NC
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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