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Organization
YOUTH CONSULTATION SERVICE INC.
Active
Organization
YOUTH CONSULTATION SERVICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD MINGOIA (PRESIDENT CEO)
(973) 482-8411
Entity
Organization
Contact information
Practice address
18 ABEEL ST, NEW BRUNSWICK, NJ 08901-1303
(732) 545-5444
(732) 545-6281
Mailing address
284 BROADWAY, NEWARK, NJ 07104-4003
(973) 482-8411
(973) 482-2907
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
2740
NJ
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
4085
NJ
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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