Provider Demographics
NPI:1154862183
Name:YOUTH SERVICES CONSULTING GROUP LLC
Entity Type:Organization
Organization Name:YOUTH SERVICES CONSULTING GROUP LLC
Other - Org Name:YSCG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:COTTON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:310-251-2067
Mailing Address - Street 1:3337 MAGNOLIA AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-1233
Mailing Address - Country:US
Mailing Address - Phone:844-844-3784
Mailing Address - Fax:
Practice Address - Street 1:3337 MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-1233
Practice Address - Country:US
Practice Address - Phone:844-844-3784
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-09
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health