Provider Demographics
NPI:1972934206
Name:YOUTH ADVOCATE PROGRAMS, INC.
Entity type:Organization
Organization Name:YOUTH ADVOCATE PROGRAMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, BILLING DEP'T.
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:KOENIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-232-7580
Mailing Address - Street 1:3899 N FRONT ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-1583
Mailing Address - Country:US
Mailing Address - Phone:717-232-7580
Mailing Address - Fax:717-232-2357
Practice Address - Street 1:1 N CHARLES ST
Practice Address - Street 2:SUITE 1100
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-3740
Practice Address - Country:US
Practice Address - Phone:410-385-3171
Practice Address - Fax:410-385-3174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD420927300251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health