Garden Lakes

LBN: Garden Lakes
Garden Lakes is an health care organization with primary practice located at 3824 Yanceyville St , Greensboro NC 27405-3348. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Garden Lakes can be contacted via phone (336) 375-4186, or through Mitchell, Derek via phone (336) 273-2640.

Contact Information

Primary practice address
3824 Yanceyville St Greensboro NC 27405-3348
Phone: (336) 375-4186
Fax: (336) 273-6522
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Derek BS, QP
Phone: (336) 273-2640

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL-041-229 North Carolina

Profile Details

NPI number 1720222615
LBN Legal business name Garden Lakes
DBA Doing business as
Authorized official Mitchell, Derek BS, QP
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 23rd, 2009
Last updated Apr 23rd, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720222615 NPPES
North Carolina MEDICAID 6603533

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