Organization
YOUTH ENRICHMENT GROUP HOME, INC.
Active
Organization
YOUTH ENRICHMENT GROUP HOME, INC.
Active
Other names
Lochwood II
Organization subpart
No
Provider details
NPI number
Authorized official
DEVOLIA SWEET (ASSISTANT DIRECTOR)
(336) 382-6658
Entity
Organization
Contact information
Practice address
1807 LOCHWOOD DR, GREENSBORO, NC 27406-8574
(336) 382-6658
(187) 784-6896
Mailing address
4299 HARBOR RIDGE DR, GREENSBORO, NC 27406-8576
(336) 382-6658
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL-041-785
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603979
—
NC
Enumeration date
01/30/2007
Last updated
06/04/2019
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