Organization
NATIONAL YOUTH ADVOCATE PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN L CLUTS (SYSTEM ANALYST)
(614) 487-8758
Entity
Organization
Contact information
Practice address
740 E 87TH ST STE B, CHICAGO, IL 60619-6104
(888) 728-5175
Mailing address
740 E 87TH ST STE B, CHICAGO, IL 60619-6104
(888) 728-5175
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/16/2025
Last updated
12/16/2025
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.
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