| National Youth Advocate Program | |
|
2600 Sandcrest Blvd Ste A Columbus IN 47203-3053 | |
| (812) 342-4220 | |
| (812) 342-4250 |
| Full Name | National Youth Advocate Program |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2600 Sandcrest Blvd Ste A, Columbus, Indiana |
| Authorized Official Name and Position | Marvena Twigg (PRESIDENT/CEO) |
| Authorized Official Contact | 8886889964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| National Youth Advocate Program 1801 Watermark Dr Ste 200 Columbus OH 43215-7088 Ph: (888) 688-9964 | National Youth Advocate Program 2600 Sandcrest Blvd Ste A Columbus IN 47203-3053 Ph: (812) 342-4220 |
| NPI Number | 1649516527 |
|---|---|
| Provider Enumeration Date | 12/20/2012 |
| Last Update Date | 03/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649516527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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