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
20 E EVERGREEN AVE, SOMERDALE, NJ 08083-1402
(856) 309-5420
(856) 346-6940
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
4081
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066737
—
NJ
Enumeration date
02/07/2007
Last updated
06/06/2008
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