Organization
NATIONAL YOUTH ADVOCATE PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVENA TWIGG (PRESIDENT/CEO)
(888) 688-9964
Entity
Organization
Contact information
Practice address
2600 SANDCREST BLVD STE A, COLUMBUS, IN 47203-3053
(812) 342-4220
(812) 342-4250
Mailing address
1801 WATERMARK DR, STE 200, COLUMBUS, OH 43215-7088
(888) 688-9964
(614) 487-3819
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/20/2012
Last updated
03/05/2019
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