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Organization
YOUTH CONSULTATION SERVICE
Active
Organization
YOUTH CONSULTATION SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD MINGOIA (CEO)
(973) 482-8411
Entity
Organization
Contact information
Practice address
284 B ROADWAY, NEWARK, NJ 07104-4003
(973) 482-8411
(973) 482-2907
Mailing address
284 B ROADWAY, 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
—
NULL
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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