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
PLAZA 31 3140 N. VERMILLION, SUITE 202, DANVILLE, IL 61832-6044
(708) 747-2655
(708) 747-2859
Mailing address
1801 WATERMARK DR STE 200, COLUMBUS, OH 43215-7088
(614) 487-8758
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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