| Youth Consultation Service | |
|
711 32nd St Suite 3 Union City NJ 07087-2418 | |
| (201) 865-8574 | |
| (201) 865-9419 |
| Full Name | Youth Consultation Service |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 711 32nd St, Union City, 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 284 Broadway Newark NJ 07104-4003 Ph: (973) 482-8411 | Youth Consultation Service 711 32nd St Suite 3 Union City NJ 07087-2418 Ph: (201) 865-8574 |
| NPI Number | 1689977233 |
|---|---|
| Provider Enumeration Date | 12/20/2010 |
| Last Update Date | 12/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689977233 | NPI | - | NPPES |
| 0246557 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (New Jersey) | Primary |
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