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Organization

YOUTH CONSULTATION SERVICE INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICHARD MINGOIA (PRESIDENT CEO)
(973) 482-8411
Entity
Organization

Contact information

Practice address
18 ABEEL ST, NEW BRUNSWICK, NJ 08901-1303
(732) 545-5444
(732) 545-6281
Mailing address
284 BROADWAY, NEWARK, NJ 07104-4003
(973) 482-8411
(973) 482-2907

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
2740
NJ
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
4085
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0165344
NJ
Enumeration date
10/02/2008
Last updated
10/02/2008
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