National Youth Advocate Program

LBN: National Youth Advocate Program
National Youth Advocate Program is an health care organization with primary practice located at 1036 Speedway Avenue Suite 2, Fairmont WV 26554. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. National Youth Advocate Program can be contacted via phone (304) 363-4237, or through Ellenberger, Renee via phone (304) 363-4237.

Contact Information

Primary practice address
1036 Speedway Avenue Suite 2 Fairmont WV 26554
Phone: (304) 363-4237
Fax: (304) 366-5863
Website:
Map and Directions
Authorized official contact:
Name: Ellenberger, Renee MSW.LGSW
Phone: (304) 363-4237

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 97 West Virginia

Profile Details

NPI number 1336351469
LBN Legal business name National Youth Advocate Program
DBA Doing business as
Authorized official Ellenberger, Renee MSW.LGSW
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Jul 24th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336351469 NPPES
West Virginia MEDICAID 0023630001

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