| The Insight Program | |
|
5110 Old Ellis Pt Roswell GA 30076-3863 | |
| (770) 751-8383 | |
| (770) 751-7282 |
| Full Name | The Insight Program |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 5110 Old Ellis Pt, Roswell, Georgia |
| Authorized Official Name and Position | Michael C. Stonebraker (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7707518383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Insight Program 5110 Old Ellis Pt Roswell GA 30076-3863 Ph: (770) 751-8383 | The Insight Program 5110 Old Ellis Pt Roswell GA 30076-3863 Ph: (770) 751-8383 |
| NPI Number | 1497922801 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 02/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497922801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 028-556-D (Georgia) | Primary |
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