Basic Information
| Provider Information | |||||||||
| NPI: | 1821346040 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NEW ALTERNATIVES, INC CAC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2815 STEELE CANYON RD | ||||||||
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| City: | EL CAJON | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920194619 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6194472432 | ||||||||
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| Address1: | 2815 STEELE CANYON RD | ||||||||
| Address2: | |||||||||
| City: | EL CAJON | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920194619 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6194472432 | ||||||||
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| ProviderEnumerationDate: | 08/20/2012 | ||||||||
| LastUpdateDate: | 08/20/2012 | ||||||||
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| AuthorizedOfficialLastName: | BRUICH | ||||||||
| AuthorizedOfficialFirstName: | MICHAEL | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 6195430293 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QM0855X | Y | Ambulatory Health Care Facilities | Clinic/Center | Adolescent and Children Mental Health |
No ID Information.