Organization
A LOVING HEART YOUTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PETERSON II (COO)
(937) 609-6830
Entity
Organization
Contact information
Practice address
1415 SALEM AVE, DAYTON, OH 45406-4941
(937) 558-8567
(888) 783-3165
Mailing address
371 W 1ST ST, DAYTON, OH 45402-3012
(937) 609-6830
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0061299
—
OH
Enumeration date
07/01/2024
Last updated
06/28/2026
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