Active NPI
The Smith Youth Haven LLC
- Mental Illness Community Based Residential Treatment Facility
- Mebane, NC
National Provider Identifier
1902716400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- THE SMITH YOUTH HAVEN LLC
- Practice address
- 100 Norwood CT N
Mebane, NC 27302-7955 - Phone
- (919) 408-6982
- NPI assigned
- Sep 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christian Smith
- Title
- Chief Executive Officer
- Phone
- (919) 408-6982
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
100 Norwood CT N
Mebane, NC 27302-7955
Mailing address
100 Norwood CT N
Mebane, NC 27302-7955
Phone (919) 408-6982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788912000000",
"number": "1902716400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 NORWOOD CT N",
"city": "MEBANE",
"state": "NC",
"postal_code": "273027955",
"telephone_number": "919-408-6982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NORWOOD CT N",
"city": "MEBANE",
"state": "NC",
"postal_code": "273027955",
"telephone_number": "919-408-6982"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE SMITH YOUTH HAVEN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-09",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "CHRISTIAN",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "919-408-6982"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mebane, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.