Organization
NATIONAL YOUTH ADVOCATE PROGRAM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVENA TWIGG (PRESIDENT/CEO)
(614) 487-8758
Entity
Organization
Contact information
Practice address
100 CRESCENT CENTER PKWY STE 680, TUCKER, GA 30084-7061
(877) 490-6644
(404) 378-3423
Mailing address
1801 WATERMARK DR STE 200, COLUMBUS, OH 43215-7088
(614) 487-8758
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003179943A
—
GA
Enumeration date
06/02/2009
Last updated
04/04/2025
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