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Daystar Youth Services, Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility in Eden, North Carolina
NPI 1003938226

Daystar Youth Services, Inc. is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Eden, NC. Daystar Youth Services, Inc. practices in Eden, NC. The NPI Number for Daystar Youth Services, Inc. is 1003938226 and holds a License No. MHL 079-052 (North Carolina).

The current practice location address for Daystar Youth Services, Inc. is 1033 Klyce St, Eden, NC and can be reached out via phone at 336-623-4105 and via fax at 336-623-3999.

Location: 1033 Klyce St, Eden, NC, 27288-4906
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003938226
Provider Name
Daystar Youth Services, Inc.
Credential
Provider Entity Type
Organization
Address
1033 Klyce St, Eden, NC, 27288-4906
Phone Number
336-623-4105
Fax Number
336-623-3999
Provider Enumeration Date
04/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MHL 079-052 01 NC MENTAL HEALTH LICENSE
institution
Provider Business Practice Location Address Details
Address
1033 Klyce St
City
Eden
State
North Carolina
Zip
27288-6327
Phone Number
336-623-4105
Fax Number
336-623-3999
person
Provider Business Mailing Address Details
Address
1033 Klyce St
City
Eden
State
North Carolina
Zip
27288-6327
Phone Number
336-623-4105
Fax Number
336-623-3999
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
MHL 079-052 (North Carolina)
Definition
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.
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