Organization
YOUTH CONSULTATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID HUANG M.D. (CONSULTING PSYCHIATRIST)
(856) 309-5429
Entity
Organization
Contact information
Practice address
20 E EVERGREEN AVE, SOMERDALE, NJ 08083-1402
(856) 309-5429
(856) 309-5435
Mailing address
20 E EVERGREEN AVE, SOMERDALE, NJ 08083
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
25MA07994300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8989401
—
NJ
Enumeration date
11/02/2007
Last updated
11/02/2007
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