Provider Demographics
NPI:1992110217
Name:INSIGHT BEHAVIORAL HEALTH CENTERS
Entity type:Organization
Organization Name:INSIGHT BEHAVIORAL HEALTH CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR OF RESIDENTIAL TX
Authorized Official - Prefix:MS
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:ALEXANDRA
Authorized Official - Last Name:STATLER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:708-288-6327
Mailing Address - Street 1:200 E OHIO
Mailing Address - Street 2:B
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60642
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:200 E OHIO ST
Practice Address - Street 2:B
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-7269
Practice Address - Country:US
Practice Address - Phone:708-288-6327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-25
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.016511323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility