Healthcare Provider Details
I. General information
NPI: 1407225899
Provider Name (Legal Business Name): MCALISTER INSTITUTE FOR TREATMENT & EDUCATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/16/2015
Last Update Date: 01/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3131 OCEANSIDE BLVD ROOM 1
OCEANSIDE CA
92056-2701
US
IV. Provider business mailing address
1400 N JOHNSON AVE STE 101
EL CAJON CA
92020-1650
US
V. Phone/Fax
- Phone: 760-726-4451
- Fax: 760-726-4465
- Phone: 619-442-0277
- Fax: 619-442-1101
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JEANNE
AUDREY
MCALISTER
Title or Position: FOUNDER AND CEO
Credential:
Phone: 619-442-0277