Organization
NATIONAL YOUTH ADVOCATE PROGRAM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIARA WILLIAMS (CREDENTIALING SPECIALIST)
(614) 824-2197
Entity
Organization
Contact information
Practice address
7 WAVELAND AVE, WINCHESTER, KY 40391-1231
(859) 385-4669
(859) 201-1450
Mailing address
1801 WATERMARK DR, STE 200, COLUMBUS, OH 43215-7088
(888) 688-9964
(614) 487-3819
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100485520
—
KY
Enumeration date
03/23/2017
Last updated
08/07/2020
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