YOUTH CONSULTATION SERVICE INC
NPI 1538549050
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Newark, NJ
- Organization
- Community Based Residential Treatment Fa...
About YOUTH CONSULTATION SERVICE INC
This page provides the complete NPI Profile along with additional information for Youth Consultation Service Inc, a provider established in Newark, New Jersey operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1538549050 assigned on June 2015. The practitioner's primary taxonomy code is 320900000X with license number GH2041 (NJ). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mr. Richard Mingoia (President Ceo)
- NPI
- 1538549050 Verify this NPI
- Provider Name
- YOUTH CONSULTATION SERVICE INC
- Entity Type
- Organization
- Location Address
- 284 BROADWAY NEWARK, NJ 07104
- Location Phone
- (973) 482-8411
- Location Fax
- (973) 482-2907
- Mailing Address
- 284 BROADWAY NEWARK, NJ 07104
- Mailing Phone
- (973) 482-8411
- Mailing Fax
- (973) 482-2907
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-01-2015
- Last Update Date
- 06-01-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
- Type
- Residential Treatment Facilities
- License No.
- GH2041
- License State
- NJ
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
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Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
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NEWARK, NJ 07104
NEWARK, NJ 07104
NEWARK, NJ 07104
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538549050, enumerated as an "organization" on June 01, 2015.
The provider is located at 284 BROADWAY NEWARK, NJ 07104 and the phone number is (973) 482-8411.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
