NPI 1003374422

National Youth Advocate Program, INC

Organisation Mental Health Clinic/Center (Including Community Mental Health Center) South Bend, IN

Practice location

Address: 3631 Edison Rd, South Bend, IN 46615-3715
Phone: (800) 270-3756
Fax: (219) 293-8604
Mailing address: 1801 Watermark Dr STE 200, Columbus, OH 43215-7088

Authorised official

Name: Michelle Yvonne Lizardi
Title: Medicaid Billing Specialist II
Phone: (614) 227-9430

Registered specialties

Mental Health Clinic/Center (Including Community Mental Health Center) Primary

Ambulatory Health Care Facilities Taxonomy 261QM0801X

Other Clinic/Center providers in Indiana →

Registry record

NPI: 1003374422
Entity type: Organization
NPI issued: 5 Mar 2019
Record last updated: 5 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.