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Youth Consultation Service INC.

Residential Treatment Facility, Emotionally Disturbed Children in Newark, NJ. Organization (NPI-2).

NPI number1063632016
StatusActive
Last updated in NPPESJun 6, 2008

Details

NPI
1063632016
Entity type
Organization (NPI-2)
Legal business name
Youth Consultation Service INC.
Organization subpart
No
Enumeration date
May 1, 2007
Last updated
Jun 6, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
322D00000X Residential Treatment Facility, Emotionally Disturbed Children2725NJYes

Practice location

284 Broadway
Newark, NJ 07104-4003

Phone 973-482-8411

Mailing address

284 Broadway
Newark, NJ 07104-4003

Phone 973-482-8411 · Fax 973-482-2907

Authorized official

Richard Mingoia
President Ceo
9734828411

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