| Youth Consultation Service Inc | |
|
284 Broadway Newark NJ 07104-4003 | |
| (973) 482-8411 | |
| (973) 482-2907 |
| Full Name | Youth Consultation Service Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 284 Broadway, Newark, New Jersey |
| Authorized Official Name and Position | Richard Mingoia (PRESIDENT CEO) |
| Authorized Official Contact | 9734828411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Consultation Service Inc 284 Broadway Newark NJ 07104-4003 Ph: (973) 482-8411 | Youth Consultation Service Inc 284 Broadway Newark NJ 07104-4003 Ph: (973) 482-8411 |
| NPI Number | 1194860353 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 06/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194860353 | NPI | - | NPPES |
| 0018031 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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