Organization
MAN TO MAN - URBAN YOUTH ADVOCATE INC
Active
Organization
MAN TO MAN - URBAN YOUTH ADVOCATE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEWART PERRILLIAT (CEO)
(408) 750-4334
Entity
Organization
Contact information
Practice address
7200 BANCROFT AVE STE 266, OAKLAND, CA 94605-2465
(408) 750-4334
Mailing address
5416 SHALLOWS PL W, SANTA ROSA, CA 95409-5502
(408) 750-4334
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up