| The Youth Advocate Program Inc. | |
|
202 E Eldorado St Ste A Decatur IL 62523-1036 | |
| (217) 422-7864 | |
| (217) 422-1324 |
| Full Name | The Youth Advocate Program Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 202 E Eldorado St Ste A, Decatur, Illinois |
| Authorized Official Name and Position | Michael Edward Warner (CEO/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2174227864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Youth Advocate Program Inc. 202 E Eldorado St Ste A Decatur IL 62523-1036 Ph: (217) 422-7864 | The Youth Advocate Program Inc. 202 E Eldorado St Ste A Decatur IL 62523-1036 Ph: (217) 422-7864 |
| NPI Number | 1790923654 |
|---|---|
| Provider Enumeration Date | 01/30/2009 |
| Last Update Date | 01/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790923654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Illinois) | Primary |
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