Lockwood Place

LBN: Youth Enrichment Group Home, Inc
Lockwood Place is an health care organization with primary practice located at 4004 Cornerrock Dr , Greensboro NC 27406-8583. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Youth Enrichment Group Home, Inc can be contacted via phone (336) 382-6658, or through Sweet, Devolia Pratt via phone (336) 382-6658.

Contact Information

Primary practice address
4004 Cornerrock Dr Greensboro NC 27406-8583
Phone: (336) 382-6658
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sweet, Devolia Pratt
Phone: (336) 382-6658

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1801949904
LBN Legal business name Youth Enrichment Group Home, Inc
DBA Doing business as Lockwood Place
Authorized official Sweet, Devolia Pratt
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2007
Last updated Jun 4th, 2019 - about 6 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 1801949904 NPPES
North Carolina MEDICAID 6603966

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