# YOUTH CONSULTATION SERVICE, INC

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

## Provider details

- **NPI number:** 1538739297
- **Authorized official:** MS. TARA A AUGUSTINE LCSW (PRESIDENT/CEO)
- **Authorized official phone:** (201) 678-1312

## Contact information

- **Practice address:** 284 BROADWAY, NEWARK, NJ 07104-4003
- **Practice address phone:** (973) 482-8411
- **Practice address fax:** (201) 482-5918
- **Mailing address:** 284 BROADWAY, NEWARK, NJ 07104-4003
- **Mailing address phone:** (973) 482-8411
- **Mailing address fax:** (201) 482-5918

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/25/2021
- **Last updated:** 06/25/2021