Provider Demographics
NPI:1225270168
Name:YOUTH 1ST COUNSELING SERVICES INC
Entity Type:Organization
Organization Name:YOUTH 1ST COUNSELING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:SADLER
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:773-785-7012
Mailing Address - Street 1:2020 W 79TH ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60620-5720
Mailing Address - Country:US
Mailing Address - Phone:708-299-8800
Mailing Address - Fax:773-785-7013
Practice Address - Street 1:2020 W 79TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60620-5720
Practice Address - Country:US
Practice Address - Phone:708-299-8800
Practice Address - Fax:773-785-7013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-24
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149005051251S00000X
IL149003205251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health