Organization
NATIONAL YOUTH ADVOCATE PROGRAM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE YVONNE LIZARDI CPC (MEDICAID BILLING SPECIALIST II)
(614) 227-9430
Entity
Organization
Contact information
Practice address
839 S ADAMS ST, VERSAILLES, IN 47042-9422
(812) 609-4216
(812) 379-8162
Mailing address
1801 WATERMARK DR STE 200, COLUMBUS, OH 43215-7088
(888) 202-2965
(614) 487-8759
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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