# YOUTH CONSULTATION SERVICE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205975885
- **Authorized official:** MR. RICHARD MINGOIA (PRESIDENT CEO)
- **Authorized official phone:** (973) 482-8411

## Contact information

- **Practice address:** 1260 BLOOMFIELD AVE, FAIRFIELD, NJ 07004-3705
- **Practice address phone:** (973) 227-4458
- **Practice address fax:** (973) 227-4866
- **Mailing address:** 284 BROADWAY, NEWARK, NJ 07104-4003
- **Mailing address phone:** (973) 482-8411
- **Mailing address fax:** (973) 482-2907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 4080 | NJ | Yes |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 08/22/2020