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General NPI Number Information
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NPI Number | 1285510297
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Entity Type | Organization
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Legal Business Name | YOUTH ADVOCATE PROGRAMS, INC.
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 9415 S WESTERN AVE STE 240
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City | CHICAGO
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State | IL
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Zip | 60643-6700
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Country | US
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Telephone | 773-366-3096
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Fax |
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Provider Business Mailing Address
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Address Line | 3899 N FRONT ST
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City | HARRISBURG
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State | PA
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Zip | 17110-1583
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | JENNIFER ELIZABETH DRAKE
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Credential |
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Telephone | 973-670-7495
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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