Organization
NATIONAL YOUTH ADVOCATE PROGRAM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN COYLE (CREDENTIALING)
(913) 601-8296
Entity
Organization
Contact information
Practice address
100 E 2ND ST, MADISON, IN 47250-3419
(614) 487-8758
Mailing address
1801 WATERMARK DR, COLUMBUS, OH 43215-7088
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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