MEDICARE: YOUTH ADVOCATE PROGRAMS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	100007480	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679627863
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOUTH ADVOCATE PROGRAMS, INC.

Provider Business Mailing Address
First Line	:	3899 N FRONT ST
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17110-1583
Country	:	US
Telephone Number	:	717-232-7580
Fax Number	:	717-233-2879

Provider Business Practice Location Address
First Line	:	3899 NORTH FRONT ST.
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17110-1583
Country	:	US
Telephone Number	:	717-232-7580
Fax Number	:	717-233-2879

Authorized Official
Title or Position	:	CEO & PRESIDENT
Name	:	GARY D IVORY
Credential	:
Telephone Number	:	717-232-7580

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	09/11/2025

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