Organization
NATIONAL YOUTH ADVOCATE PROGRAM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELIA OWENS (DIRECTOR OF DEVELOPMENT)
(708) 747-2655
Entity
Organization
Contact information
Practice address
1705 217TH PL, SAUK VILLAGE, IL 60411-4462
(708) 747-2655
(708) 747-2859
Mailing address
1801 WATERMARK DR STE 200, COLUMBUS, OH 43215-7088
(614) 487-8758
(614) 487-8759
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
02/02/2022
Last updated
02/02/2022
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