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Organization
YOUTH CONSULTATION SERVICE, INC
Active
Organization
YOUTH CONSULTATION SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD MINGOIA LCSW (PRESIDENT/CEO)
(973) 428-8411
Entity
Organization
Contact information
Practice address
81 E 39TH ST, PATERSON, NJ 07514-1105
(973) 278-1465
(973) 278-3288
Mailing address
284 BROADWAY, NEWARK, NJ 07104-4003
(973) 482-8411
(973) 482-5325
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
1380
NJ
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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