OrganizationActive
Youth Consultation Service Inc
NPI 1205975885 · Emotionally Disturbed Childrens' Residential Treatment Facility · Fairfield, NJ
Provider details
- NPI number
- 1205975885
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Richard Mingoia, President Ceo(973) 482-8411
- License
- 4080 (NJ)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
1260 Bloomfield Ave
Fairfield, NJ 07004-3705
Phone: (973) 227-4458
Fax: (973) 227-4866
Approximate (ZIP-level) locationGet directions
Mailing address
284 Broadway
Newark, NJ 07104-4003
Registry dates
- Enumerated
- 2007-02-06
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.