NATIONAL YOUTH ADVOCATE PROGRAM INC NPI 1073091856

NPI Information

  • NPI: 1073091856
  • Provider Name: NATIONAL YOUTH ADVOCATE PROGRAM, INC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 1902 W CERMAK RD
    CHICAGO, IL
    ZIP 60608
  • Phone: (855) 460-6119

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NPI Details

NATIONAL YOUTH ADVOCATE PROGRAM, INC is a mental health (including community mental health center) clinic center in Chicago, IL. NATIONAL YOUTH ADVOCATE PROGRAM, INC NPI is 1073091856. The provider is registered as an organization entity type.

The provider's business location address is:

1902 W CERMAK RD
CHICAGO, IL
ZIP 60608-204
Phone: (855) 460-6119
Fax: (773) 360-8379

The provider's authorized official is Michelle Yvonne Lizardi .
The authorized official title is Medicaid Billing Specialist Ii and has the following contact phone number (614) 227-9430.

The enumeration date for this NPI number is 8/2/2018 and was last updated on 11/30/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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