# THE YOUTH SUCCESS NETWORK LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** TYSN
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619193299
- **Authorized official:** MR. DAVID SETSUO ISHIBASHI (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (551) 574-8739

## Contact information

- **Practice address:** 375 SYLVAN AVE, SUITE 30, ENGLEWOOD CLIFFS, NJ 07632-2725
- **Practice address phone:** (201) 731-3739
- **Practice address fax:** (201) 731-3582
- **Mailing address:** 375 SYLVAN AVE, SUITE 30, ENGLEWOOD CLIFFS, NJ 07632-2725
- **Mailing address phone:** (201) 731-3739
- **Mailing address fax:** (201) 732-3582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 64669006 | NJ | Yes |

## Other

- **Enumeration date:** 04/18/2007
- **Last updated:** 07/01/2016