Organization
HEARTHSTONE YOUTH AND FAMILY SERV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHANIEL HALL (CEO)
(336) 694-0906
Entity
Organization
Contact information
Practice address
474 NC HIGHWAY 62 S, YANCEYVILLE, NC 27379-8504
(336) 694-0906
Mailing address
474 NC HIGHWAY 62 S, YANCEYVILLE, NC 27379-8504
(336) 694-0906
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300561H
—
NC
Enumeration date
08/23/2007
Last updated
10/10/2008
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