Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Youth Consultation Service Inc

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1235590803

Youth Consultation Service Inc is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Randolph, New Jersey. Licensed in New Jersey. Registered with an NPI since 2016.

Licensed in
NJ
In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17 Pamela Dr
Randolph, NJ 07869-3903
Phone: (973) 482-8411
Fax: (973) 482-2907
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X · Licence GH2157 (NJ)

Record details

NPI number1235590803
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Mingoia — Ceo President · (973) 482-8411
NPI enumeratedMarch 10, 2016
Last updated in NPPESMarch 10, 2016
Mailing address284 Broadway, Newark, NJ 07104-4003

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