Whalio Doctors

NPI 1003938226

Daystar Youth Services, INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Eden, NC

Practice location

Address
1033 Klyce St, Eden, NC 27288-6327
Phone
(336) 623-4105
Fax
(336) 623-3999
Mailing address
528 Boone Rd, Eden, NC 27288-4906

Authorised official

Name
June B Webb
Title
Director
Phone
(336) 623-4105

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence MHL 079-052 (NC)

Registry record

NPI
1003938226
Entity type
Organization
NPI issued
6 Apr 2007
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.