National Youth Advocate Program | |
315 W Ponce De Leon Ave Decatur GA 30030-2400 | |
(877) 490-6644 | |
(404) 378-3423 |
Full Name | National Youth Advocate Program |
---|---|
Speciality | Community/behavioral Health |
Location | 315 W Ponce De Leon Ave, Decatur, Georgia |
Authorized Official Name and Position | Marvena Twigg (PRESIDENT/CEO) |
Authorized Official Contact | 6144878758 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
National Youth Advocate Program 315 W Ponce De Leon Ave Decatur GA 30030-2400 Ph: (877) 490-6644 | National Youth Advocate Program 315 W Ponce De Leon Ave Decatur GA 30030-2400 Ph: (877) 490-6644 |
NPI Number | 1649406877 |
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Provider Enumeration Date | 06/02/2009 |
Last Update Date | 02/14/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649406877 | NPI | - | NPPES |
003179943A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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