Youth Consultation Service INC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Randolph, New Jersey
1235590803- Practice location
- 17 Pamela Dr, Randolph, NJ 07869-3903
- Phone
- 973-482-8411
- Fax
- 973-482-2907
- Last updated
- March 10, 2016
Youth Consultation Service INC is a healthcare organization based in Randolph, NJ. Youth Consultation Service INC practices in Randolph, NJ. The NPI Number for Youth Consultation Service INC is 1235590803 and holds a License No. GH2157 (NJ). The current practice location address for Youth Consultation Service INC is 17 Pamela Dr, Randolph, NJ 07869-3903 and can be reached out via phone at 973-482-8411 and via fax at 973-482-2907.
Provider Profile Details
- NPI Number
- 1235590803
- Provider Name
- Youth Consultation Service INC
- Provider Entity Type
- Organization
- Address
- 17 Pamela Dr, Randolph, NJ 07869-3903
- Phone Number
- 973-482-8411
- Fax Number
- 973-482-2907
- Primary Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Organization Subpart
- No
- Authorized Official
- Richard Mingoia · Ceo President · 973-482-8411
- Provider Enumeration Date
- March 10, 2016
- Last Update Date
- March 10, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 17 Pamela Dr
Randolph, NJ 07869-3903 - City
- Randolph
- State
- New Jersey
- Zip
- 07869-3903
- Phone Number
- 973-482-8411
- Fax Number
- 973-482-2907
Provider Business Mailing Address Details
- Address
- 284 Broadway
Newark, NJ 07104-4003 - City
- Newark
- State
- NJ
- Zip
- 07104-4003
- Phone Number
- 973-482-8411
- Fax Number
- 973-482-2907
License Information
- License Number
- GH2157
- License State
- NJ
- Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Youth Consultation Service INC?
The NPI number of Youth Consultation Service INC is 1235590803. It was assigned on March 10, 2016 and is currently active in the NPPES registry.
What is the specialty of Youth Consultation Service INC?
Youth Consultation Service INC is registered under the primary taxonomy Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320900000X), licensed in NJ under license number GH2157.
Where does Youth Consultation Service INC practice?
The practice location is 17 Pamela Dr, Randolph, NJ 07869-3903. The office can be reached at 973-482-8411 (phone) or 973-482-2907 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235590803 directly on the NPPES registry website.