Organization
YOUTH HAVEN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN JOHNSON LCSW (CEO/CLINICAL DIRECTOR)
(336) 634-9039
Entity
Organization
Contact information
Practice address
1112 BARNES ST, REIDSVILLE, NC 27320-4975
(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
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/23/2014
Last updated
10/21/2020
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