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Youth Consultation Service Inc.

Organization Active NPI Psychiatric Residential Treatment Facility · Farmingdale, NJ

NPI 1285962910 · NPPES record last updated Nov 18, 2009

Key facts

NPI
1285962910
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric Residential Treatment Facility 323P00000X
Legal business name
YOUTH CONSULTATION SERVICE INC.
Practice address
16 Hollywood Ave
Farmingdale, NJ 07727-3833
Phone
(973) 482-8411
Fax
(973) 482-2907
NPI assigned
Nov 18, 2009
Organization subpart
No

Authorized official

Name
Mr. Richard Mingoia
Title
President Ceo
Phone
(973) 482-8411

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Youth Consultation Service Inc (97 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X NJ Yes

Addresses

Primary practice location

16 Hollywood Ave
Farmingdale, NJ 07727-3833

Mailing address

284 Broadway
Newark, NJ 07104-4003
Phone (973) 482-8411

Other identifiers

IdentifierTypeStateIssuer
0211940MedicaidNJ

Other providers in Farmingdale, NJ

All providers in Farmingdale, NJ · Psychiatric Residential Treatment Facility in New Jersey

Sources for this page

Verify at the official NPI Registry.