Healthcare Provider Details

I. General information

NPI: 1558447136
Provider Name (Legal Business Name): NEW ALTERNATIVES, INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 11/16/2020
Certification Date: 11/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3589 4TH AVE
SAN DIEGO CA
92103-4912
US

IV. Provider business mailing address

3589 4TH AVE
SAN DIEGO CA
92103-4912
US

V. Phone/Fax

Practice location:
  • Phone: 619-543-0293
  • Fax:
Mailing address:
  • Phone: 619-543-0293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL BRUICH
Title or Position: CEO
Credential:
Phone: 619-543-0293