| Youth Advocate Program | |
|
4225 Office Pkwy Dallas TX 75204-3628 | |
| (214) 821-6505 | |
| (214) 821-6504 |
| Full Name | Youth Advocate Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4225 Office Pkwy, Dallas, Texas |
| Authorized Official Name and Position | Keisha Butler (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2148216505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Advocate Program 4225 Office Parkway Dallas TX 75204 Ph: (214) 821-6505 | Youth Advocate Program 4225 Office Pkwy Dallas TX 75204-3628 Ph: (214) 821-6505 |
| NPI Number | 1982848263 |
|---|---|
| Provider Enumeration Date | 04/30/2009 |
| Last Update Date | 04/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982848263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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