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General NPI Number Information
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NPI Number | 1306120167
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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 | 09/28/2011
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 603 N BROAD ST STE 211
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City | WOODBURY
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State | NJ
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Zip | 08096-1619
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Country | US
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Telephone | 856-848-0165
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Fax | 856-848-0403
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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 | 717-232-7580
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Fax | 717-232-2357
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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 | 717-232-7580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 0257265
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License Number State | NJ
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