Youth Enrichment Group Home, Inc in Greensboro - Community Based Residential Treatment Facility, Mental Illness
Youth Enrichment Group Home, Inc - NPI 1801949904
Youth Enrichment Group Home, Inc is a Community Based Residential Treatment Facility, Mental Illness in Greensboro, North Carolina. Youth Enrichment Group Home, Inc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Youth Enrichment Group Home, Inc is 1801949904. The last update date is 2019-06-04.
Youth Enrichment Group Home, Inc's current location address is 4299 Harbor Ridge Dr, Greensboro, North Carolina. You can contact this provider via phone number 3363826658. The mailing address for Youth Enrichment Group Home, Inc is 4299 Harbor Ridge Dr, Greensboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Youth Enrichment Group Home, Inc |
|---|---|
| Address | 4299 Harbor Ridge Dr, Greensboro, North Carolina |
| Phone Number | 3363826658 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASSISTANT |
|---|---|
| Authorized Official Name | Sweet Pratt Devolia |
| Telephone Number | 3363826658 |
NPI Number Detail
| NPI Number | 1801949904 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2019-06-04 |
Provider Mailing Address Detail
| Address | 4299 Harbor Ridge Dr |
|---|---|
| City | Greensboro |
| State | North Carolina (NC) |
| Post Code | 274068576 |
| Phone Number | 3363826658 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6603966 | NC | -- |
Post Comment/ Review Below
What is the Youth Enrichment Group Home, Inc's 1801949904?
The Youth Enrichment Group Home, Inc's NPI (National Provider Identifier) Number is 1801949904. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Youth Enrichment Group Home, Inc's facilities are situated?
The facilities of Youth Enrichment Group Home, Inc are physically located at the following address: 4299 Harbor Ridge Dr, Greensboro, NC, 274068576.
What is Youth Enrichment Group Home, Inc's area of expertise and its corresponding taxonomy classification?
The Youth Enrichment Group Home, Inc's field of specialization is Community Based Residential Treatment Facility, Mental Illness, and it falls under the taxonomy code 320800000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1801949904 to Youth Enrichment Group Home, Inc?
The Centers for Medicare & Medicaid Services assigned the 1801949904 to Youth Enrichment Group Home, Inc on 2007-01-19.
As of what date were the details related to Youth Enrichment Group Home, Inc most recently updated or revised?
The information pertaining to Youth Enrichment Group Home, Inc, including its address, specialty, and other relevant details, was last updated or revised on 2019-06-04.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY