# YOUTH CONSULTATION SERVICE, INC

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

## Provider details

- **NPI number:** 1457076879
- **Authorized official:** MS. TARA AUGUSTINE LCSW (PRESIDENT / CEO)
- **Authorized official phone:** (201) 678-1312

## Contact information

- **Practice address:** 235 MAIN ST, HACKENSACK, NJ 07601-7313
- **Practice address phone:** (973) 482-8411
- **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 |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/07/2022
- **Last updated:** 10/07/2022