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Organization

NATIONAL YOUTH ADVOCATE PROGRAM, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARVENA TWIGG (CHIEF EXECUTIVE OFFICER)
(614) 487-8758
Entity
Organization

Contact information

Practice address
2435 BETHANY RD, SYCAMORE, IL 60178-3116
(815) 517-1585
(815) 827-6203
Mailing address
1801 WATERMARK DR STE 200, COLUMBUS, OH 43215-7088
(614) 487-8758
(708) 747-2859

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
02/27/2021
Last updated
01/08/2026
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