NPI 1083807655

Youth Consultation Service INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Somerdale, NJ

Practice location

Address: 20 E Evergreen Ave, Somerdale, NJ 08083-1402
Phone: (856) 309-5420
Mailing address: 284 Broadway, Newark, NJ 07104-4003

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 4081 (NJ)

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

Registry record

NPI: 1083807655
Entity type: Organization
NPI issued: 27 Aug 2007
Record last updated: 20 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.