Organization
YOUTH CONSULTATION SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD MINGOIA (CEO PRESIDENT)
(973) 482-8411
Entity
Organization
Contact information
Practice address
2345 VINE RD, VINELAND, NJ 08361-2517
(973) 482-8411
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
GH2323
NJ
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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