NPI 1235420787

Youth Consultation Service

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Newark, NJ

Practice location

Address: 284 B Roadway, Newark, NJ 07104-4003
Phone: (973) 482-8411
Fax: (973) 482-2907

Authorised official

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

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1235420787
Entity type: Organization
NPI issued: 2 May 2011
Record last updated: 2 May 2011

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.