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Organization

NATIONAL YOUTH ADVOCATE PROGRAM, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN L CLUTS (SYSTEMS ANALYST)
(614) 487-8758
Entity
Organization

Contact information

Practice address
4055 FABER PLACE DR STE 300, NORTH CHARLESTON, SC 29405-8524
(800) 686-8958
Mailing address
1801 WATERMARK DR, COLUMBUS, OH 43215-7088
(888) 688-9964
(614) 487-3819

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103K00000X
Behavior Analyst
103T00000X
Psychologist
104100000X
Social Worker
171M00000X
Case Manager/Care Coordinator
172A00000X
Driver
172V00000X
Community Health Worker
174H00000X
Health Educator
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary
253J00000X
Foster Care Agency
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
224BHS
SC
Enumeration date
11/20/2014
Last updated
09/10/2025
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