Organization · Type 2 NPI

Lydia's Home LLC

Mental Illness Community Based Residential Treatment Facility · Greensboro, NC

NPI number 1205011012 Active

Practice location

2704 Grimsley St
Greensboro, NC 27403-3138

Call (336) 456-7248 Map

Other practice locations

  • 716 Prince Rd, Greensboro, NC 27455-2430 · (336) 370-6315

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1205011012

Lydia's Home LLC's National Provider Identifier is 1205011012, issued on Dec 31, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Greensboro, NC. The record was last updated on Feb 14, 2025.