| Organization Name: | HEARTHSTONE YOUTH AND FAMILY SERVICES, INC. |
| NPI Number: | 1760715494 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NATHANIEL HALL (CEO) |
| Mailing Address: | 474 Nc Highway 62 S Yanceyville |
| State: | NC US |
| Postal Code: | 273798504 |
| Phone Number: | 3366940906 |
| Fax Number: | 3366945920 |
| NPI Enumeration Date: | 09/14/2009 |
| NPI Last Update Date: | 09/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 2925 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |