Organization
NATIONAL YOUTH ADVOCATE PROGRAM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVENA TWIGG (PRESIDENT/CEO)
(888) 202-2965
Entity
Organization
Contact information
Practice address
4801 SOUTHWICK DR FL 3, MATTESON, IL 60443-2254
(866) 596-6955
(708) 747-2859
Mailing address
1801 WATERMARK DR, SUITE 200, COLUMBUS, OH 43215-7088
(888) 202-2965
(614) 487-8759
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
08/10/2010
Last updated
01/26/2024
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