Organization
NATIONAL YOUTH ADVOCATE PROGRAM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVENA TWIGG (PRESIDENT/CEO)
(888) 202-2965
Entity
Organization
Contact information
Practice address
2200 ROSSELLE ST, JACKSONVILLE, FL 32204-3126
(904) 551-2399
Mailing address
1801 WATERMARK DR STE 200, COLUMBUS, OH 43215-7088
(888) 202-2965
(614) 487-8759
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871007062
—
FL
Enumeration date
11/27/2017
Last updated
05/12/2025
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