OrganizationActive
Youth Consultation Service Inc
NPI 1932248010 · Emotionally Disturbed Childrens' Residential Treatment Facility · Montclair, NJ
Provider details
- NPI number
- 1932248010
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Richard Mingoia, President Ceo
- License
- 4080 (NJ)
Practice location
73 Fullerton Ave
Montclair, NJ 07042
Phone: (973) 744-8334
Fax: (973) 744-8395
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.