Tri-County Youth Services

LBN: Tri County Passaic Teen Center
Tri-County Youth Services is an health care organization with primary practice located at 228 Hope Avenue , Passaic NJ 07055. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Tri County Passaic Teen Center can be contacted via phone (973) 473-5755, or through Giles, Rasheed I via phone (973) 473-5755.

Contact Information

Primary practice address
228 Hope Avenue Passaic NJ 07055
Phone: (973) 473-5755
Fax: (973) 470-8999
Website:
Map and Directions
Authorized official contact:
Name: Giles, Rasheed I B.A., MSW
Phone: (973) 473-5755

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X New Jersey

Profile Details

NPI number 1972715142
LBN Legal business name Tri County Passaic Teen Center
DBA Doing business as Tri-County Youth Services
Authorized official Giles, Rasheed I B.A., MSW
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Jul 10th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972715142 NPPES
New Jersey MEDICAID 8373507

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