Organization · Type 2 NPI

National Youth Advocate Program

Community/Behavioral Health Agency · Kenosha, WI

NPI number 1174421382 Active

Practice location

3535 30th Ave Ste 205A
Kenosha, WI 53144-1632

Call (614) 487-8758 Map

Mailing address

1801 Watermark Dr Ste 200
Columbus, OH 43215-7088

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1174421382

National Youth Advocate Program's National Provider Identifier is 1174421382, issued on Oct 28, 2026. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Kenosha, WI. The record was last updated on Oct 28, 2026.