YOUTH HAVEN SERVICES NPI 1194137232

NPI Information

  • NPI: 1194137232
  • Provider Name: YOUTH HAVEN SERVICES
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • Address: 1112 BARNES ST
    REIDSVILLE, NC
    ZIP 27320
  • Phone: (336) 347-7375

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NPI Details

YOUTH HAVEN SERVICES is a residential treatment facility emotionally disturbed children in Reidsville, NC. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. YOUTH HAVEN SERVICES NPI is 1194137232. The provider is registered as an organization entity type.

The provider's business location address is:

1112 BARNES ST
REIDSVILLE, NC
ZIP 27320-975
Phone: (336) 347-7375
Fax: (336) 634-0444

The provider's authorized official is Dawn Johnson .
The authorized official title is Ceo/clinical Director and has the following contact phone number (336) 634-9039.

The enumeration date for this NPI number is 5/23/2014 and was last updated on 10/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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