Organization
YOUTH CONSULTATION SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TARA A AUGUSTINE LCSW (PRESIDENT / CEO)
(201) 678-1312
Entity
Organization
Contact information
Practice address
284 BROADWAY, NEWARK, NJ 07104-4003
(973) 482-8411
(973) 482-2907
Mailing address
284 BROADWAY, NEWARK, NJ 07104-4003
(973) 482-8411
(973) 482-2907
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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