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
6993 PROFESSIONAL PKWY, LAKEWOOD RANCH, FL 34240-8411
(941) 780-2169
Mailing address
1801 WATERMARK DR STE 200, COLUMBUS, OH 43215-7088
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0218478-00
—
FL
Enumeration date
07/06/2017
Last updated
03/07/2022
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