| National Youth Advocate Program, Inc | |
|
6993 Professional Pkwy Lakewood Ranch FL 34240-8411 | |
| (941) 780-2169 | |
| Not Available |
| Full Name | National Youth Advocate Program, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6993 Professional Pkwy, Lakewood Ranch, Florida |
| Authorized Official Name and Position | Marvena Twigg (PRESIDENT/CEO) |
| Authorized Official Contact | 8882022965 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| National Youth Advocate Program, Inc 1801 Watermark Dr Ste 200 Columbus OH 43215-7088 Ph: () - | National Youth Advocate Program, Inc 6993 Professional Pkwy Lakewood Ranch FL 34240-8411 Ph: (941) 780-2169 |
| NPI Number | 1477074847 |
|---|---|
| Provider Enumeration Date | 07/06/2017 |
| Last Update Date | 03/07/2022 |
| Certification Date | 03/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477074847 | NPI | - | NPPES |
| 0218478-00 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Florida) | Primary |
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