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NPI Code Detail

MEDICARE: INSIGHT RECOVERY & FAMILY THERAPY INC.

MEDICARE: INSIGHT RECOVERY & FAMILY THERAPY INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1700458270
Entity Type Code : Organization
Provider Name (Legal Business Name) : INSIGHT RECOVERY & FAMILY THERAPY INC.
Provider Business Mailing Address
First Line : 5151 SHOREHAM PL STE 175
Second Line :
City : SAN DIEGO
State : CA
Zip : 92122-5925
Country : US
Telephone Number : 619-800-1790
Fax Number : 858-352-6337
Provider Business Practice Location Address
First Line : 5151 SHOREHAM PL STE 175
Second Line :
City : SAN DIEGO
State : CA
Zip : 92122-5925
Country : US
Telephone Number : 858-202-5262
Fax Number : 858-352-6337
Authorized Official
Title or Position : CEO
Name : RAFAEL J CORTINA
Credential : LMFT
Telephone Number : 858-202-5262
Provider Enumeration Date : 07/14/2021
Last Update Date : 07/14/2021

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Directions to “INSIGHT RECOVERY & FAMILY THERAPY INC. ” Practice Location

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