Healthcare Provider Details

I. General information

NPI: 1689043077
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: 03/03/2020
Certification Date: 03/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6702 WANDERMERE DR
SAN DIEGO CA
92120-3250
US

IV. Provider business mailing address

1400 N JOHNSON AVE STE 101
EL CAJON CA
92020-1650
US

V. Phone/Fax

Practice location:
  • Phone: 858-277-4633
  • Fax: 858-277-4933
Mailing address:
  • Phone: 619-442-0277
  • Fax: 619-442-1101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: AUDREY JEANNE MCALISTER
Title or Position: FOUNDER AND CEO
Credential:
Phone: 619-442-0277