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Organization
DAYSTAR YOUTH SERVICES, INC.
Active
Organization
DAYSTAR YOUTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUNE B WEBB (DIRECTOR)
(336) 623-4105
Entity
Organization
Contact information
Practice address
1033 KLYCE ST, EDEN, NC 27288-6327
(336) 623-4105
(336) 623-3999
Mailing address
528 BOONE RD, EDEN, NC 27288-4906
(336) 623-4105
(336) 623-3999
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL 079-052
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MHL 079-052
MENTAL HEALTH LICENSE
NC
Enumeration date
04/06/2007
Last updated
08/22/2020
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