Provider Demographics
NPI:1316259757
Name:RECOVERY INSIGHT, INC.
Entity type:Organization
Organization Name:RECOVERY INSIGHT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:FULLEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-517-8552
Mailing Address - Street 1:1681 CROWN AVE
Mailing Address - Street 2:SUITE 12
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-6303
Mailing Address - Country:US
Mailing Address - Phone:717-517-8552
Mailing Address - Fax:717-517-8557
Practice Address - Street 1:1681 CROWN AVE
Practice Address - Street 2:SUITE 12
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-6303
Practice Address - Country:US
Practice Address - Phone:717-517-8552
Practice Address - Fax:717-517-8557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-13
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA329860251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1024748120001OtherCOMMUNITY BEHAVIORAL HEALTHCARE NETWORK OF PENNSYLVANIA
PA1024748120001Medicaid