Organization
NATIONAL YOUTH ADVOCATE PROGRAM, INC
Active
Parent organization
NATIONAL YOUTH ADVOCATE PROGRAM, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NATIONAL YOUTH ADVOCATE PROGRAM, INC
Authorized official
SHELIA OWENS (DIRECTOR OF DEVELOPMENT AND SUPPORT)
(708) 747-2655
Entity
Organization
Contact information
Practice address
1115 N NORTH ST STE C, PEORIA, IL 61606-1959
(708) 747-2655
(708) 747-2859
Mailing address
4801 SOUTHWICK DR STE 300, MATTESON, IL 60443-2279
(708) 747-2655
(708) 747-2859
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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