DAYSTAR YOUTH SERVICES INC. NPI 1003938226

NPI Information

NPI: 1003938226
Provider Name: DAYSTAR YOUTH SERVICES, INC.
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
1033 KLYCE ST
EDEN, NC
ZIP 27288
Phone: (336) 623-4105
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DAYSTAR YOUTH SERVICES, INC. is a residential treatment facility emotionally disturbed children in Eden, 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. DAYSTAR YOUTH SERVICES, INC. NPI is 1003938226. The provider is registered as an organization entity type.

The provider's business location address is:

1033 KLYCE ST
EDEN, NC
ZIP 27288-327
Phone: (336) 623-4105
Fax: (336) 623-3999

The provider's authorized official is June B Webb .
The authorized official title is Director and has the following contact phone number (336) 623-4105.

The enumeration date for this NPI number is 4/6/2007 and was last updated on 8/22/2020.

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
1	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		MHL 079-052	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MHL 079-052	OTHER	NORTH CAROLINA	MENTAL HEALTH LICENSE

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: 5/5/2024

NPI Synchronization or Removal

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