Youth Consultation Service Inc in Newark - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Youth Consultation Service Inc - NPI 1942349725

Youth Consultation Service Inc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Newark, New Jersey. Youth Consultation Service Inc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Youth Consultation Service Inc is 1942349725. The last update date is 2020-08-22.

Youth Consultation Service Inc's current location address is 284 Broadway, Newark, New Jersey. You can contact this provider via phone number 9734828411 and fax number 9734822907. The mailing address for Youth Consultation Service Inc is 284 Broadway, Newark, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization Youth Consultation Service Inc
Address 284 Broadway, Newark, New Jersey
Phone Number 9734828411
Fax Number 9734822907
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Mingoia Richard
Telephone Number 9734828411

NPI Number Detail

NPI Number 1942349725
Provider Enumeration Date 2007-02-06
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 284 Broadway
City Newark
State New Jersey (NJ)
Post Code 71044003
Phone Number 9734828411
Fax Number 9734822907

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320900000X
Licence No GH1039
Definition:
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8403309 NJ --

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FAQs about Youth Consultation Service Inc

What is the unique provider identifier assigned to Youth Consultation Service Inc?

The Youth Consultation Service Inc has been issued the NPI (National Provider Identifier) 1942349725 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Youth Consultation Service Inc is located?

The Youth Consultation Service Inc is situated at the following address: 284 Broadway, Newark, NJ, 71044003.

What is Youth Consultation Service Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Youth Consultation Service Inc's specialized field of practice is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 320900000X.

On what date was the 1942349725 assigned to Youth Consultation Service Inc?

The Youth Consultation Service Inc was issued its 1942349725 on 2007-02-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Youth Consultation Service Inc most recently updated or refreshed?

The details pertaining to the Youth Consultation Service Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.

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