Provider Demographics
NPI:1477709467
Name:INSIGHT SOLUTIONS
Entity Type:Organization
Organization Name:INSIGHT SOLUTIONS
Other - Org Name:INSIGHT SOLUTIONS OUTPATIENT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:A
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:CAS II
Authorized Official - Phone:209-577-0217
Mailing Address - Street 1:1400 FLORIDA AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350-4422
Mailing Address - Country:US
Mailing Address - Phone:209-577-0217
Mailing Address - Fax:209-577-0901
Practice Address - Street 1:1400 FLORIDA AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350-4422
Practice Address - Country:US
Practice Address - Phone:209-577-0217
Practice Address - Fax:209-577-0901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-11
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA500019AP324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility