Provider Demographics
NPI:1962937326
Name:YOUTH ADVOCATE PROGRAMS, INC.
Entity type:Organization
Organization Name:YOUTH ADVOCATE PROGRAMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NJ QI DIRECTOR
Authorized Official - Prefix:
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 1:2007 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17102-1815
Mailing Address - Country:US
Mailing Address - Phone:717-232-7580
Mailing Address - Fax:
Practice Address - Street 1:1125 ATLANTIC AVE
Practice Address - Street 2:SUITE711
Practice Address - City:ATLANTIC CITY
Practice Address - State:NJ
Practice Address - Zip Code:08401-4806
Practice Address - Country:US
Practice Address - Phone:609-345-7333
Practice Address - Fax:609-345-7566
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YOUTH ADVOCATE PROGRAMS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-04-24
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0548197Medicaid