Provider Demographics
NPI:1912785759
Name:YOUTH ADVOCATE PROGRAMS, INC.
Entity Type:Organization
Organization Name:YOUTH ADVOCATE PROGRAMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:D
Authorized Official - Last Name:IVORY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-232-7580
Mailing Address - Street 1:3899 NORTH 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:
Practice Address - Street 1:240 JENNIFER DRIVE
Practice Address - Street 2:SUITE 201
Practice Address - City:COTTONWOOD
Practice Address - State:AZ
Practice Address - Zip Code:86326-4199
Practice Address - Country:US
Practice Address - Phone:928-277-7745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YOUTH ADVOCATE PROGRAMS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health