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Organization
YOUTH HAVEN SERVICES, INC.
Active
Organization
YOUTH HAVEN SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN TUCKER JOHNSON LCSW (CEO)
(336) 349-2233
Entity
Organization
Contact information
Practice address
401 MOSS ST, REIDSVILLE, NC 27320-3439
(336) 634-3209
(336) 634-0444
Mailing address
229 TURNER DR, REIDSVILLE, NC 27320-5736
(336) 349-2233
(336) 634-0444
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8303249R
—
NC
Enumeration date
02/14/2011
Last updated
10/21/2020
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