Provider Demographics
NPI:1306120167
Name:YOUTH ADVOCATE PROGRAMS, INC.
Entity type:Organization
Organization Name:YOUTH ADVOCATE PROGRAMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:QUALITY IMPROVEMENT DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPRIONI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-986-0473
Mailing Address - Street 1:2030 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17102-1814
Mailing Address - Country:US
Mailing Address - Phone:717-232-7580
Mailing Address - Fax:717-232-2357
Practice Address - Street 1:603 N BROAD ST STE 211
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:NJ
Practice Address - Zip Code:08096-1619
Practice Address - Country:US
Practice Address - Phone:856-848-0165
Practice Address - Fax:856-848-0403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0257265261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0257265Medicaid