NPI 1336351469
National Youth Advocate Program
Practice location
- Address
- 909 Morgantown Ave, Fairmont, WV 26554-4335
- Phone
- (304) 366-5832
- Fax
- (304) 366-5863
Authorised official
- Name
- Renee Ellenberger
- Title
- Executive Director, Wv
- Phone
- (304) 363-4237
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1336351469
- Entity type
- Organization
- NPI issued
- 3 May 2007
- Record last updated
- 20 Feb 2026
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.