Healthcare Provider Details
I. General information
NPI: 1053768119
Provider Name (Legal Business Name): MCALISTER INSTITUTE FOR TREATMENT & EDUCATION, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/18/2016
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2315 BAR BIT RD
SPRING VALLEY CA
91978-1901
US
IV. Provider business mailing address
1400 N JOHNSON AVE SUITE 101
EL CAJON CA
92020-1650
US
V. Phone/Fax
- Phone: 619-337-3830
- Fax: 619-337-3610
- Phone: 619-442-0277
- Fax: 619-442-1101
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 | 3245S0500X |
| Taxonomy | Children's Substance Abuse Rehabilitation Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AUDREY
JEANNE
MCALISTER
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 619-442-0277