| National Youth Advocate Program, Inc | |
|
1115 N North St Ste C Peoria IL 61606-1959 | |
| (708) 747-2655 | |
| (708) 747-2859 |
| Full Name | National Youth Advocate Program, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1115 N North St Ste C, Peoria, Illinois |
| Authorized Official Name and Position | Shelia Owens (DIRECTOR OF DEVELOPMENT AND SUPPORT) |
| Authorized Official Contact | 7087472655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| National Youth Advocate Program, Inc 4801 Southwick Dr Ste 300 Matteson IL 60443-2279 Ph: (708) 747-2655 | National Youth Advocate Program, Inc 1115 N North St Ste C Peoria IL 61606-1959 Ph: (708) 747-2655 |
| NPI Number | 1538735238 |
|---|---|
| Provider Enumeration Date | 06/02/2021 |
| Last Update Date | 06/02/2021 |
| Certification Date | 06/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538735238 | NPI | - | NPPES |
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