Healthcare Provider Details
I. General information
NPI: 1871835470
Provider Name (Legal Business Name): MCALISTER INSTITUTE FOR TREATMENT & EDUCATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/21/2013
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3230 SWEETWATER SPRINGS BLVD
SPRING VALLEY CA
91977-6934
US
IV. Provider business mailing address
1400 N JOHNSON AVE STE 101
EL CAJON CA
92020-1651
US
V. Phone/Fax
- Phone: 619-588-5361
- Fax: 619-588-5421
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| 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 | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0405X |
| Taxonomy | Substance Use Disorder Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARISA
CATHERINE DJ
VAROND
Title or Position: CEO
Credential:
Phone: 619-442-0277