NPI 1063632016

Youth Consultation Service INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Newark, NJ

Practice location

Address: 284 Broadway, Newark, NJ 07104-4003
Phone: (973) 482-8411

Authorised official

Name: Richard Mingoia
Title: President Ceo
Phone: (973) 482-8411

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 2725 (NJ)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in New Jersey →

Registry record

NPI: 1063632016
Entity type: Organization
NPI issued: 1 May 2007
Record last updated: 6 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.