Organization · NPI-2
Youth Consultation Service INC
Residential Treatment Facility, Emotionally Disturbed Children · Hackensack, NJ
NPI number1013057694
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1013057694
- Entity type
- Organization (NPI-2)
- Legal business name
- Youth Consultation Service INC
- Organization subpart
- No
- Enumeration date
- Feb 6, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 1320 | NJ | Yes |
Practice location
260 Union StHackensack, NJ 07601-4203
Phone 201-343-8803 · Fax 201-343-8563
Mailing address
284 BroadwayNewark, NJ 07104-4003
Phone 973-482-8411 · Fax 973-482-2907
Authorized official
Richard Mingoia
President Ceo
9734828411
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