Organization
THE YOUTH SUCCESS NETWORK - COMMUNILINK AND MHO
Active
Parent organization
THE YOUTH SUCCESS NETWORK
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE YOUTH SUCCESS NETWORK
Authorized official
MR. M WELLESLEY GRAY (EXECUTIVE DIRECTOR)
(888) 897-6465
Entity
Organization
Contact information
Practice address
16 W MAIN ST, FLOOR 2, FREEHOLD, NJ 07728-2210
(888) 897-6465
(877) 438-8976
Mailing address
16 WEST MAIN ST, FLOOR 2, FREEHOLD, NJ 07728
(888) 897-6465
(877) 438-8976
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
64669006
NJ
385HR2055X
Child Mental Illness Respite Care
PENDING
NJ
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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