| Youth Haven Services, Inc. | |
|
229 Turner Dr Reidsville NC 27320-5736 | |
| (336) 349-2233 | |
| (336) 634-0444 |
| Full Name | Youth Haven Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 229 Turner Dr, Reidsville, North Carolina |
| Authorized Official Name and Position | Dawn Tucker Johnson (PRESIDENT) |
| Authorized Official Contact | 3363492233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Haven Services, Inc. 229 Turner Dr Reidsville NC 27320-5736 Ph: (336) 349-2233 | Youth Haven Services, Inc. 229 Turner Dr Reidsville NC 27320-5736 Ph: (336) 349-2233 |
| NPI Number | 1003036708 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 08/31/2023 |
| Certification Date | 08/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003036708 | NPI | - | NPPES |
| 6006037 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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