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Youth Consultation Service Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Estell Manor, New Jersey
NPI 1942349725

Youth Consultation Service Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Newark, NJ. Youth Consultation Service Inc practices in Estell Manor, NJ. The NPI Number for Youth Consultation Service Inc is 1942349725 and holds a License No. GH1039 (New Jersey).

The current practice location address for Youth Consultation Service Inc is 105 Cumberland Ave, Estell Manor, NJ and can be reached out via phone at 609-476-0506 and via fax at 609-476-0508.

Location: 105 Cumberland Ave, Estell Manor, NJ, 07104-4003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942349725
Provider Name
Youth Consultation Service Inc
Credential
Provider Entity Type
Organization
Address
105 Cumberland Ave, Estell Manor, NJ, 07104-4003
Phone Number
609-476-0506
Fax Number
609-476-0508
Provider Enumeration Date
02/06/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8403309 05 NJ
institution
Provider Business Practice Location Address Details
Address
105 Cumberland Ave
City
Estell Manor
State
New Jersey
Zip
08319-1716
Phone Number
609-476-0506
Fax Number
609-476-0508
person
Provider Business Mailing Address Details
Address
105 Cumberland Ave
City
Estell Manor
State
New Jersey
Zip
08319-1716
Phone Number
609-476-0506
Fax Number
609-476-0508
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
GH1039 (New Jersey)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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