# YOUTH CONSULTATION SERVICE

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

## Provider details

- **NPI number:** 1407083868
- **Authorized official:** MR. RICHARD MINGOIA (PRESIDENT CEO)
- **Authorized official phone:** (973) 482-8411

## Contact information

- **Practice address:** 45 CLIFTON PL, JERSEY CITY, NJ 07304-3003
- **Practice address phone:** (201) 324-1227
- **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 | — | NULL | Yes |

## Other

- **Enumeration date:** 06/12/2009
- **Last updated:** 06/12/2009