| National Youth Advocate Program, Inc | |
|
7479 Walton St Ste 4 Rockford IL 61108-4613 | |
| (708) 747-2655 | |
| Not Available |
| Full Name | National Youth Advocate Program, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7479 Walton St Ste 4, Rockford, Illinois |
| Authorized Official Name and Position | Shelia Owens (DIRECTOR) |
| 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 1801 Watermark Dr Ste 200 Columbus OH 43215-7088 Ph: (614) 487-8758 | National Youth Advocate Program, Inc 7479 Walton St Ste 4 Rockford IL 61108-4613 Ph: (708) 747-2655 |
| NPI Number | 1841943495 |
|---|---|
| Provider Enumeration Date | 02/02/2022 |
| Last Update Date | 08/04/2022 |
| Certification Date | 08/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841943495 | NPI | - | NPPES |
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