| Youth Consultation Service | |
|
517 Cooper St Camden NJ 08102-1210 | |
| (856) 225-1250 | |
| Not Available |
| Full Name | Youth Consultation Service |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 517 Cooper St, Camden, New Jersey |
| Authorized Official Name and Position | Richard Mingoia (PRESIDENT CEO) |
| Authorized Official Contact | 9734828411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Consultation Service 284 Broadway Newark NJ 07104-4003 Ph: (973) 482-8411 | Youth Consultation Service 517 Cooper St Camden NJ 08102-1210 Ph: (856) 225-1250 |
| NPI Number | 1801168885 |
|---|---|
| Provider Enumeration Date | 02/06/2012 |
| Last Update Date | 02/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801168885 | NPI | - | NPPES |
| 0268810 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (New Jersey) | Primary |
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