Organization
YOUTH ENRICHMENT GROUP HOME, INC.
Active
Other names
Wynmere Place
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEVOLIA PRATT SWEET (ASSISTANT DIRECTOR)
(336) 382-6658
Entity
Organization
Contact information
Practice address
203 HAMMOND DR, GREENSBORO, NC 27406-8149
(336) 389-1913
(877) 846-8962
Mailing address
4299 HARBOR RIDGE DR, GREENSBORO, NC 27406-8576
(336) 382-6658
(877) 846-8962
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL-041-658
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603440
—
NC
Enumeration date
01/12/2007
Last updated
06/04/2019
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