NPI | 1801949904 |
---|---|
Doing Business As | LOCKWOOD PLACE |
Entity Type | Organization |
Authorized Contact | DEVOLIA PRATT SWEET Assistant Director 336-382-6658 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2007-01-19 |
Last Update Date | 2019-06-04 |