Provider Demographics
NPI:1164844759
Name:CENTER FOR INSIGHT AND SOCIAL JUSTICE
Entity Type:Organization
Organization Name:CENTER FOR INSIGHT AND SOCIAL JUSTICE
Other - Org Name:THE INSIGHT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:310-445-2160
Mailing Address - Street 1:4956 GAVIOTA AVE
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-1425
Mailing Address - Country:US
Mailing Address - Phone:310-445-2160
Mailing Address - Fax:866-887-9003
Practice Address - Street 1:4956 GAVIOTA AVE
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-1425
Practice Address - Country:US
Practice Address - Phone:310-445-2160
Practice Address - Fax:866-887-9003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-16
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty