Youth Haven Services, Inc. in Reidsville - Community/behavioral Health
Youth Haven Services, Inc. - NPI 1407073588
Youth Haven Services, Inc. is a Community/behavioral Health in Reidsville, North Carolina. Youth Haven Services, Inc. practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Youth Haven Services, Inc. is 1407073588. The last update date is 2011-05-24.
Youth Haven Services, Inc.'s current location address is 229 Turner Dr, Reidsville, North Carolina. You can contact this provider via phone number 3363492233 and fax number 3366340444. The mailing address for Youth Haven Services, Inc. is 229 Turner Dr, Reidsville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Youth Haven Services, Inc. |
|---|---|
| Address | 229 Turner Dr, Reidsville, North Carolina |
| Phone Number | 3363492233 |
| Fax Number | 3366340444 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Johnson Tucker Dawn |
| Credentials | LCSW |
| Telephone Number | 3363492233 |
NPI Number Detail
| NPI Number | 1407073588 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2011-05-24 |
Provider Mailing Address Detail
| Address | 229 Turner Dr |
|---|---|
| City | Reidsville |
| State | North Carolina (NC) |
| Post Code | 273205736 |
| Phone Number | 3363492233 |
| Fax Number | 3366340444 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | MHL079081 |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8302064R | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Youth Haven Services, Inc. by the Centers for Medicare & Medicaid Services?
The Youth Haven Services, Inc. has been issued the NPI (National Provider Identifier) 1407073588, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Youth Haven Services, Inc.'s physical address?
The Youth Haven Services, Inc. is physically located at 229 Turner Dr, in the city of Reidsville, NC, with the postal code 273205736.
What is the Youth Haven Services, Inc.'s area of specialization and corresponding taxonomy classification?
The Youth Haven Services, Inc.'s specialty field is Community/behavioral Health, and it falls under the taxonomy code 251S00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1407073588 to Youth Haven Services, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1407073588 to Youth Haven Services, Inc. on 2007-04-19.
As of what date were the Youth Haven Services, Inc.'s details last updated?
The information pertaining to the Youth Haven Services, Inc., including its address, specialty, and other details, was most recently updated on 2011-05-24.