Organization
YOUTH HAVEN SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAWN TUCKER JOHNSON LCSW (CEO/CLINICAL DIRECTOR)
(336) 349-2233
Entity
Organization
Contact information
Practice address
911 BERRYMORE RD, REIDSVILLE, NC 27320-8765
(336) 347-7375
(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
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
NC
Other
Enumeration date
06/07/2013
Last updated
01/03/2022
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