# YOUTH HAVEN SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194137232
- **Authorized official:** DAWN JOHNSON LCSW (CEO/CLINICAL DIRECTOR)
- **Authorized official phone:** (336) 634-9039

## Contact information

- **Practice address:** 1112 BARNES ST, REIDSVILLE, NC 27320-4975
- **Practice address phone:** (336) 347-7375
- **Practice address fax:** (336) 634-0444
- **Mailing address:** 229 TURNER DR, REIDSVILLE, NC 27320-5736
- **Mailing address phone:** (336) 349-2233
- **Mailing address fax:** (336) 634-0444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 05/23/2014
- **Last updated:** 10/21/2020