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
229 TURNER DR, REIDSVILLE, NC 27320-5736
(336) 349-2233
(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
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
02/14/2011
Last updated
05/24/2011
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