MEDICARE: NEW ALTERNATIVES, INCORPORATED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0855X	Adolescent and Children Mental Health Clinic/Center
2	251V00000X	Voluntary or Charitable Agency

General Provider Information

NPI Number	:	1558447136
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW ALTERNATIVES, INCORPORATED

Provider Business Mailing Address
First Line	:	3589 4TH AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-4912
Country	:	US
Telephone Number	:	619-543-0293
Fax Number	:

Provider Business Practice Location Address
First Line	:	3589 4TH AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-4912
Country	:	US
Telephone Number	:	619-543-0293
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MICHAEL BRUICH
Credential	:
Telephone Number	:	619-543-0293

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	11/16/2020

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