| Youth Consultation Services | |
|
20 E Evergreen Ave Somerdale NJ 08083-1402 | |
| (856) 309-5429 | |
| (856) 309-5435 |
| Full Name | Youth Consultation Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 20 E Evergreen Ave, Somerdale, New Jersey |
| Authorized Official Name and Position | David Huang (CONSULTING PSYCHIATRIST) |
| Authorized Official Contact | 8563095429 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Consultation Services 20 E Evergreen Ave Somerdale NJ 08083 Ph: () - | Youth Consultation Services 20 E Evergreen Ave Somerdale NJ 08083-1402 Ph: (856) 309-5429 |
| NPI Number | 1235318528 |
|---|---|
| Provider Enumeration Date | 11/02/2007 |
| Last Update Date | 11/02/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235318528 | NPI | - | NPPES |
| 8989401 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 25MA07994300 (New Jersey) | Primary |
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