Organization
YOUTH ENRICHMENT GROUP HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVOLIA SWEET (ASSISTANT DIRECTOR)
(336) 382-6658
Entity
Organization
Contact information
Practice address
321 E MONTCASTLE DR UNIT F, GREENSBORO, NC 27406-5344
(336) 382-6658
Mailing address
4299 HARBOR RIDGE DR, GREENSBORO, NC 27406-8576
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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