Organization
THE YOUTH SUCCESS NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID SETSUO ISHIBASHI (EXECUTIVE DIRECTOR)
(551) 574-8739
Entity
Organization
Contact information
Practice address
1150 NEWTON ST, SUITE B, NORTH BRUNSWICK, NJ 08902-2286
(888) 897-6465
(877) 438-8976
Mailing address
1150 NEWTON ST, SUITE B., NORTH BRUNSWICK, NJ 08902-2286
(888) 897-6465
(877) 438-8976
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0397318
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0397318
—
NJ
Enumeration date
07/15/2014
Last updated
07/15/2014
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