| Organization Name: | NATIONAL YOUTH ADVOCATE PROGRAM |
| NPI Number: | 1134498934 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARVENA TWIGG (PRESIDENT/CEO) |
| Mailing Address: | 56 E Mcclain Ave Scottsburg |
| State: | IN US |
| Postal Code: | 471701844 |
| Phone Number: | 8003819673 |
| Fax Number: | 8127529894 |
| NPI Enumeration Date: | 12/22/2011 |
| NPI Last Update Date: | 12/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |