Organization
JC BROADUS CENTER FOR YOUTH ADVOCACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER D BROADUS CHW (CEO)
(614) 845-1704
Entity
Organization
Contact information
Practice address
3505 E LIVINGSTON AVE STE K, COLUMBUS, OH 43227-2252
(614) 845-1704
Mailing address
3505 E LIVINGSTON AVE STE K, COLUMBUS, OH 43227-2252
(614) 845-1704
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
342000000X
Transportation Network Company
—
—
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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