Organization
NATIONAL YOUTH ADVOCATE PROGRAM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVENA TWIGG (PRESIDENT/CEO)
(888) 688-9964
Entity
Organization
Contact information
Practice address
1902 W CERMAK RD, CHICAGO, IL 60608-4204
(855) 460-6119
(773) 360-8379
Mailing address
1801 WATERMARK DR, STE 200, COLUMBUS, OH 43215-7088
(888) 688-9964
(614) 487-3819
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/16/2015
Last updated
03/21/2022
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