National Youth Advocate Program, INC

NPI #1841943495 in Rockford, Illinois

Provider Information

NPI Number: 1841943495
Entity Type: Organization
Organization Name: National Youth Advocate Program, INC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Feb 2, 2022
Last Updated: Aug 4, 2022

Practice Location

Address: 7479 WALTON ST STE 4
City: Rockford
State: Illinois
ZIP Code: 61108-4613
Phone: (708) 747-2655

Authorized Official

Name: SHELIA OWENS
Title: DIRECTOR
Phone: (708) 747-2655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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