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Organization
NATIONAL YOUTH ADVOCATE PROGRAM, INC
Active
Organization
NATIONAL YOUTH ADVOCATE PROGRAM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE YVONNE LIZARDI (MEDICAID BILLING SPECIALIST II)
(614) 227-9430
Entity
Organization
Contact information
Practice address
2200 LAKE AVE STE 225, FORT WAYNE, IN 46805-5364
(260) 702-0360
(260) 818-2300
Mailing address
1801 WATERMARK DR STE 200, COLUMBUS, OH 43215-7088
(888) 202-2965
(614) 487-8759
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/06/2019
Last updated
05/07/2020
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