# YOUTH CONSULTATION SERVICE

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

## Provider details

- **NPI number:** 1235420787
- **Authorized official:** MR. RICHARD MINGOIA (CEO)
- **Authorized official phone:** (973) 482-8411

## Contact information

- **Practice address:** 284 B ROADWAY, NEWARK, NJ 07104-4003
- **Practice address phone:** (973) 482-8411
- **Practice address fax:** (973) 482-2907
- **Mailing address:** 284 B ROADWAY, 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 05/02/2011
- **Last updated:** 05/02/2011