Healthcare Provider Details
I. General information
NPI: 1831302298
Provider Name (Legal Business Name): NEW ALTERNATIVES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/08/2007
Last Update Date: 04/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
17701 SAN PASQUAL VALLEY RD
ESCONDIDO CA
92025-5301
US
IV. Provider business mailing address
PO BOX 34219
SAN DIEGO CA
92163-4219
US
V. Phone/Fax
- Phone: 619-758-9720
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0855X |
| Taxonomy | Adolescent and Children Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
MICHAEL
E
BRUICH
Title or Position: CEO
Credential:
Phone: 619-543-0293