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
560 HURFFVILLE CROSSKEYS RD, SEWELL, NJ 08080-2830
(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
GH1734
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0355020
—
NJ
Enumeration date
08/13/2013
Last updated
08/13/2013
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