Organization
YOUTH ENRICHMENT GROUP HOME, INC.
Active
Other names
Youth Enrichment Group Home, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DEVOLIA SWEET (ASSISTANT DIRECTOR)
(336) 382-6658
Entity
Organization
Contact information
Practice address
4299 HARBOR RIDGE DR, GREENSBORO, NC 27406-8576
(336) 382-6658
Mailing address
4299 HARBOR RIDGE DR., GREENSBORO, NC 27406
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4299
COMMUNITY SUPPORT
NC
Enumeration date
02/21/2007
Last updated
09/20/2007
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