Provider Demographics
NPI:1740730522
Name:INSIGHT HEALTH SERVICES
Entity type:Organization
Organization Name:INSIGHT HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:QMHP/QMHPA
Authorized Official - Prefix:MISS
Authorized Official - First Name:CONSTANCE
Authorized Official - Middle Name:LM
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:MASTERS
Authorized Official - Phone:702-690-0453
Mailing Address - Street 1:6575 W TROPICANA
Mailing Address - Street 2:APT. 1082
Mailing Address - City:LASVEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103
Mailing Address - Country:US
Mailing Address - Phone:702-690-0453
Mailing Address - Fax:
Practice Address - Street 1:6600 W CHARLESTON BLVD
Practice Address - Street 2:SUITE 121
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-9001
Practice Address - Country:US
Practice Address - Phone:702-527-7510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-05
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management