Basic Information
| Provider Information | |||||||||
| NPI: | 1295947364 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | ALPHA PROJECT FOR THE HOMELESS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3737 5TH AVE | ||||||||
| Address2: | SUITE 203 | ||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921034217 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6195421877 | ||||||||
| FaxNumber: | 6195420264 | ||||||||
| Practice Location | |||||||||
| Address1: | 993 POSTAL WAY | ||||||||
| Address2: | |||||||||
| City: | VISTA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920836945 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7606309922 | ||||||||
| FaxNumber: | 7606309996 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/03/2007 | ||||||||
| LastUpdateDate: | 03/17/2018 | ||||||||
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| AuthorizedOfficialLastName: | MCELROY | ||||||||
| AuthorizedOfficialFirstName: | ROBERT | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT-CEO | ||||||||
| AuthorizedOfficialTelephone: | 6195421877 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 324500000X | 370073AN | CA | Y | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility |
No ID Information.