NATIONAL YOUTH ADVOCATE PROGRAM


Address: 4701 N Keystone Ave Ste 150, Indianapolis, IN 46205-1562
Phone: 8004714795

NATIONAL YOUTH ADVOCATE PROGRAM (NPI# 1235408022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235408022
Entity Type Organization
Organization Name NATIONAL YOUTH ADVOCATE PROGRAM
Practice Address 4701 N Keystone Ave Ste 150
Indianapolis
IN 46205-1562
Mailing Address 1801 Watermark Dr
Ste 200
Columbus
OH 43215-7088
Practice Telephone 8004714795
Practice Fax Number 3174750081
Mailing Telephone 8882022965
Mailing Fax Number 6144878759
Enumeration Date 2011-12-22
Last Update Date 2019-03-05
Authorized Official Name MARVENA TWIGG (PRESIDENT/CEO)
Authorized Official Telephone 8882022965
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
IN Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IN 201052480 A 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1205245081 National Youth Advocate Program Clinic/Center 732 Wabash St, Michigan City, IN 46360-3418 2014-08-06
1649516527 National Youth Advocate Program Clinic/Center 2600 Sandcrest Blvd Ste A, Columbus, IN 47203-3053 2012-12-20
1528337318 National Youth Advocate Program Clinic/Center 1551 E 85th Ave, Merrillville, IN 46410-8901 2011-12-22
1134498934 National Youth Advocate Program Clinic/Center 56 E Mcclain Ave, Scottsburg, IN 47170-1844 2011-12-22
1336351469 National Youth Advocate Program Community/Behavioral Health 1036 Speedway Avenue, Suite 2, Fairmont, WV 26554 2007-05-03
1538595004 National Youth Advocate Program Clinic/Center 1106 Meridian St, Ste 106, Anderson, IN 46016-2776 2013-09-17
1932461563 National Youth Advocate Program Community/Behavioral Health 315 W Ponce De Leon Ave, Decatur, GA 30030-2400 2012-06-11
1649406877 National Youth Advocate Program Community/Behavioral Health 315 W Ponce De Leon Ave, Decatur, GA 30030-2400 2009-06-02

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names NATIONAL YOUTH ADVOCATE PROGRAM, INC. 1801 Watermark Dr Ste 200, Columbus, OH 43215
Colorado Business Entities NATIONAL YOUTH ADVOCATE PROGRAM, INC. 1801 Watermark Drive, Suite 200, Columbus, OH 43215
Colorado Business Entities National Youth Advocate Program, Inc. - Colorado 1801 Watermark Drive, Suite 200, Columbus, OH 43215

Office Location

Street Address 4701 N KEYSTONE AVE STE 150
City INDIANAPOLIS
State IN
Zip Code 46205-1562

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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City INDIANAPOLIS
Zip Code 46205

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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