Organization Name: | INSIGHT HEALTHCARE, PLLC |
NPI Number: | 1306217864 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEAN KLOSKA (OWNER/THERAPIST) |
Mailing Address: | 119 S Heisterman St Ste. 101 Bad Axe |
State: | MI US |
Postal Code: | 484131719 |
Phone Number: | 9899758039 |
Fax Number: | 9893729864 |
NPI Enumeration Date: | 10/09/2015 |
NPI Last Update Date: | 11/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | C-01973 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |