Youth Haven Services, INC.
Community/Behavioral Health in Walnut Cove, NC. Organization (NPI-2).
NPI number1457748899
StatusActive
Last updated in NPPESOct 21, 2020
Details
- NPI
- 1457748899
- Entity type
- Organization (NPI-2)
- Legal business name
- Youth Haven Services, INC.
- Organization subpart
- No
- Enumeration date
- Apr 23, 2015
- Certification date
- Oct 21, 2020
- Last updated
- Oct 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
131 Plant StWalnut Cove, NC 27052-9223
Phone 336-983-5824
Mailing address
229 Turner DrReidsville, NC 27320-5736
Phone 336-349-2233
Authorized official
Dawn Johnson
Ceo
3363492233
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