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Organization
YOUTH CONSULTATION SERVICE INC
Active
Organization
YOUTH CONSULTATION SERVICE INC
Active
Other names
Wenonah Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TARA AUGUSTINE LCSW (PRESIDENT/CEO)
(973) 482-8411
Entity
Organization
Contact information
Practice address
209 N MARION AVE, WENONAH, NJ 08090-2127
(973) 482-8411
Mailing address
284 BROADWAY, NEWARK, NJ 07104-4003
(973) 482-8411
(973) 482-2907
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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