Organization
YOUTH CONSULTATION SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD MINGOIA (CEO)
(973) 482-8411
Entity
Organization
Contact information
Practice address
284 B ROADWAY, NEWARK, NJ 07104-4003
(973) 482-8411
(973) 482-2907
Mailing address
284 B ROADWAY, 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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0256714
—
NJ
Enumeration date
05/02/2011
Last updated
05/02/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us