| The Youth Success Network Llc | |
|
1150 Newton St Suite B North Brunswick NJ 08902-2286 | |
| (888) 897-6465 | |
| (877) 438-8976 |
| Full Name | The Youth Success Network Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1150 Newton St, North Brunswick, New Jersey |
| Authorized Official Name and Position | David Setsuo Ishibashi (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5515748739 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Youth Success Network Llc 1150 Newton St Suite B. North Brunswick NJ 08902-2286 Ph: (888) 897-6465 | The Youth Success Network Llc 1150 Newton St Suite B North Brunswick NJ 08902-2286 Ph: (888) 897-6465 |
| NPI Number | 1689081309 |
|---|---|
| Provider Enumeration Date | 07/15/2014 |
| Last Update Date | 07/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689081309 | NPI | - | NPPES |
| 0397318 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0397318 (New Jersey) | Primary |
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