| Hearthstone Youth And Family Serv | |
|
474 Nc Highway 62 S Yanceyville NC 27379-8504 | |
| (336) 694-0906 | |
| Not Available |
| Full Name | Hearthstone Youth And Family Serv |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 474 Nc Highway 62 S, Yanceyville, North Carolina |
| Authorized Official Name and Position | Nathaniel Hall (CEO) |
| Authorized Official Contact | 3366940906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hearthstone Youth And Family Serv 474 Nc Highway 62 S Yanceyville NC 27379-8504 Ph: (336) 694-0906 | Hearthstone Youth And Family Serv 474 Nc Highway 62 S Yanceyville NC 27379-8504 Ph: (336) 694-0906 |
| NPI Number | 1407049471 |
|---|---|
| Provider Enumeration Date | 08/23/2007 |
| Last Update Date | 10/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407049471 | NPI | - | NPPES |
| 8300561G | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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