Whalio Doctors

NPI 1558482919

Daystar Youth Services, INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Eden, NC

Practice location

Address
210 Cedar St, Eden, NC 27288-5502
Phone
(336) 623-8272
Fax
(336) 623-3999
Mailing address
528 Boone Rd, Eden, NC 27288-4906

Authorised official

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

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence MHL 079-070 (NC)

Registry record

NPI
1558482919
Entity type
Organization
NPI issued
3 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.