Organization
NATIONAL YOUTH ADVOCATE PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN L CLUTS (SYSTEM ANALYST)
(614) 487-8758
Entity
Organization
Contact information
Practice address
1850 OLYMPIAN WAY, WINTER HAVEN, FL 33881-2161
(954) 596-5284
Mailing address
1801 WATERMARK DR, COLUMBUS, OH 43215-7088
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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