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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
332 LAWNRIDGE RD, ORANGE, NJ 07050-3011
(973) 481-8411
Mailing address
284 BROADWAY, NEWARK, NJ 07104-4003
(973) 482-8411
(973) 482-2907

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0267911
NJ
Enumeration date
09/09/2011
Last updated
09/09/2011
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