Youth Enrichment Group Home, Inc. in Greensboro - Residential Treatment Facility, Emotionally Disturbed Children
Youth Enrichment Group Home, Inc. - NPI 1568509750
Youth Enrichment Group Home, Inc. is a Residential Treatment Facility, Emotionally Disturbed Children in Greensboro, North Carolina. Youth Enrichment Group Home, Inc. practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Youth Enrichment Group Home, Inc. is 1568509750. 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 Devolia |
| Telephone Number | 3363826658 |
NPI Number Detail
| NPI Number | 1568509750 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| 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 | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | MHL-041-785 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6603979 | NC | -- |
Post Comment/ Review Below
What is the Youth Enrichment Group Home, Inc.'s 1568509750?
The Youth Enrichment Group Home, Inc.'s NPI (National Provider Identifier) Number is 1568509750. 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 specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Youth Enrichment Group Home, Inc.'s specialized field of practice is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this area of specialization is 322D00000X.
When was the Youth Enrichment Group Home, Inc.'s 1568509750 issued?
The Youth Enrichment Group Home, Inc.'s 1568509750 was issued on 2007-01-30.
When was the information pertaining to Youth Enrichment Group Home, Inc. most recently updated or revised?
The details related to Youth Enrichment Group Home, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2019-06-04.