| National Youth Advocate Program, Inc | |
|
105 Executive Dr Ste C Lafayette IN 47905-4869 | |
| (614) 438-3400 | |
| Not Available |
| Full Name | National Youth Advocate Program, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 105 Executive Dr Ste C, Lafayette, Indiana |
| Authorized Official Name and Position | Kathleen Coyle (CREDENTIALING) |
| Authorized Official Contact | 9372417089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| National Youth Advocate Program, Inc 1801 Watermark Dr Columbus OH 43215-7088 Ph: () - | National Youth Advocate Program, Inc 105 Executive Dr Ste C Lafayette IN 47905-4869 Ph: (614) 438-3400 |
| NPI Number | 1235800616 |
|---|---|
| Provider Enumeration Date | 09/24/2021 |
| Last Update Date | 09/24/2021 |
| Certification Date | 09/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235800616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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