Provider Demographics
NPI:1104012210
Name:THROUGH INSIGHT
Entity type:Organization
Organization Name:THROUGH INSIGHT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KERENA
Authorized Official - Middle Name:GORDHAMER
Authorized Official - Last Name:SALTZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW 20934
Authorized Official - Phone:831-477-1542
Mailing Address - Street 1:150 FELKER ST STE G
Mailing Address - Street 2:THROUGH INSIGHT
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-2849
Mailing Address - Country:US
Mailing Address - Phone:831-425-4794
Mailing Address - Fax:831-477-1542
Practice Address - Street 1:150 FELKER ST STE G
Practice Address - Street 2:THROUGH INSIGHT
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-2849
Practice Address - Country:US
Practice Address - Phone:831-425-4794
Practice Address - Fax:831-477-1542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-21
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS209341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty