| Youth Consultation Service Inc | |
|
1219 Paterson Plank Rd Secaucus NJ 07094-3220 | |
| (201) 864-1047 | |
| Not Available |
| Full Name | Youth Consultation Service Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1219 Paterson Plank Rd, Secaucus, 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 1219 Paterson Plank Rd Secaucus NJ 07094-3220 Ph: (201) 864-1047 |
| NPI Number | 1922328954 |
|---|---|
| Provider Enumeration Date | 06/01/2010 |
| Last Update Date | 06/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922328954 | NPI | - | NPPES |
| 0228176 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 03-00021 (New Jersey) | Primary |
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