Provider Demographics
NPI:1700458270
Name:INSIGHT RECOVERY & FAMILY THERAPY INC.
Entity Type:Organization
Organization Name:INSIGHT RECOVERY & FAMILY THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:CORTINA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:858-202-5262
Mailing Address - Street 1:5151 SHOREHAM PL STE 175
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92122-5925
Mailing Address - Country:US
Mailing Address - Phone:619-800-1790
Mailing Address - Fax:858-352-6337
Practice Address - Street 1:5151 SHOREHAM PL STE 175
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122-5925
Practice Address - Country:US
Practice Address - Phone:858-202-5262
Practice Address - Fax:858-352-6337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-14
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)