# YOUTH CONSULTATION SERVICE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wenonah Group Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730776741
- **Authorized official:** MS. TARA AUGUSTINE LCSW (PRESIDENT/CEO)
- **Authorized official phone:** (973) 482-8411

## Contact information

- **Practice address:** 209 N MARION AVE, WENONAH, NJ 08090-2127
- **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 |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/23/2020
- **Last updated:** 12/23/2020