Organization Name: | INSEARCH |
NPI Number: | 1073681680 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK T KENNY (DIRECTOR) |
Mailing Address: | 201 E Army Trail Road 300d Bloomingdale |
State: | IL US |
Postal Code: | 601082106 |
Phone Number: | 6305302220 |
Fax Number: | 7736651269 |
NPI Enumeration Date: | 12/01/2006 |
NPI Last Update Date: | 05/31/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 180000746 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |