Organization Name: | YOUTH CONSULTATION SERVICES |
NPI Number: | 1235318528 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID HUANG (CONSULTING PSYCHIATRIST) |
Mailing Address: | 20 E Evergreen Ave Somerdale |
State: | NJ US |
Postal Code: | 080831402 |
Phone Number: | 8563095429 |
Fax Number: | 8563095435 |
NPI Enumeration Date: | 11/02/2007 |
NPI Last Update Date: | 11/02/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | 25MA07994300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |