Organization · Type 2 NPI
National Youth Advocate Program, Inc
Mental Health Clinic/Center (Including Community Mental Health Center) · South Bend, IN
NPI number
1003374422
Active
Practice location
3631 Edison Rd
South Bend, IN 46615-3715
Fax (219) 293-8604
Mailing address
1801 Watermark Dr Ste 200
Columbus, OH 43215-7088
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1003374422
National Youth Advocate Program, Inc's National Provider Identifier is 1003374422, issued on Mar 5, 2019. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in South Bend, IN. The record was last updated on Mar 5, 2019.