NPI 1205975885

Youth Consultation Service INC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Fairfield, NJ

Practice location

Address: 1260 Bloomfield Ave, Fairfield, NJ 07004-3705
Phone: (973) 227-4458
Fax: (973) 227-4866
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 4080 (NJ)

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

Registry record

NPI: 1205975885
Entity type: Organization
NPI issued: 6 Feb 2007
Record last updated: 22 Aug 2020

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.