Whalio Doctors

NPI 1174662969

Youth Consultation Service INC

Organisation Psychiatric Residential Treatment Facility Hackensack, NJ

Practice location

Address
260 Union St, Hackensack, NJ 07601-4203
Phone
(201) 343-8803
Fax
(201) 343-8563
Mailing address
284 Broadway, Newark, NJ 07104-4003

Authorised official

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

Registered specialties

Psychiatric Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 323P00000X Licence 50019G44Y107 (NJ)

Registry record

NPI
1174662969
Entity type
Organization
NPI issued
6 Feb 2007
Record last updated
22 Sep 2010

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.