Organization
YOUTH CONSULTATION SERVICE INC
Active
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
2 ROAD C, AUDUBON, NJ 08106-1822
(856) 310-9210
(856) 310-9212
Mailing address
284 BROADWAY, NEWARK, NJ 07104-4003
(973) 482-8411
(973) 482-2907
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8290504
—
NJ
Enumeration date
02/06/2007
Last updated
08/22/2020
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