| Organization Name: | INSIGHT TREATMENT PROGRAM, INC |
| NPI Number: | 1184880734 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS EUGENE LEE (EXECUTIVE DIRECTOR) |
| Mailing Address: | 100 Court St Grove Hill |
| State: | AL US |
| Postal Code: | 364513263 |
| Phone Number: | 2512753036 |
| Fax Number: | 2512753721 |
| NPI Enumeration Date: | 08/04/2008 |
| NPI Last Update Date: | 08/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
| Taxonomy Definition: | |