Organization
NATIONAL YOUTH ADVOCATE PROGRAM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELIA OWENS (DIRECTOR)
(708) 747-2655
Entity
Organization
Contact information
Practice address
7479 WALTON ST STE 4, ROCKFORD, IL 61108-4613
(708) 747-2655
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
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/02/2022
Last updated
08/04/2022
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