1. Home
  2. Directory
  3. North Carolina
  4. Reidsville
  5. Community Based Residential Treatment Facility Mental Illness
  6. NPI Profile

YOUTH HAVEN SERVICES, INC.
NPI 1174961593
Community Based Residential Treatment Facility, Mental Illness in Reidsville, NC

Active since June 07, 2013
911 BERRYMORE RD, REIDSVILLE, NC 27320(336) 347-7375(336) 634-0444 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2022, Oct 21, 2020 (2 updates tracked since 2020).

About Youth Haven Services, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YOUTH HAVEN SERVICES, INC. (NPI 1174961593) is a healthcare organization registered as a community based residential treatment facility, mental illness in Reidsville, North Carolina and active in the NPI registry since June 2013. The organization lists Dawn Tucker Johnson, Ceo/clinical Director, as its authorized official.

NPPES Registry Identity

NPI1174961593
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameYOUTH HAVEN SERVICES, INC.
Location Address911 BERRYMORE RDReidsville, NC 27320-8765
Mailing Address229 Turner DrReidsville, NC 27320-5736 · (336) 349-2233 · Fax (336) 634-0444
Phone(336) 347-7375
Fax(336) 634-0444
Organization SubpartNo
Authorized OfficialDawn Tucker JohnsonCeo/clinical Director · (336) 349-2233
Enumeration DateJune 7, 2013
Last NPPES UpdateJanuary 3, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2022
✔ NPI 1174961593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedResidential Treatment Facility, Emotionally Disturbed ChildrenTaxonomy 322D00000X
911 BERRYMORE RD, Reidsville, NC 27320
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Youth Haven Services, Inc.'s NPI number?

The NPI number for Youth Haven Services, Inc. is 1174961593. It was assigned to this organization in the NPPES registry on June 7, 2013.

Where is Youth Haven Services, Inc. located?

Youth Haven Services, Inc. is located at 911 Berrymore Rd, Reidsville, NC 27320. The listed phone number is (336) 347-7375.

What is Youth Haven Services, Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Youth Haven Services, Inc. was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.