1407225899 NPI number — MCALISTER INSTITUTE FOR TREATMENT & EDUCATION, INC.

Table of content: (NPI 1407225899)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407225899 NPI number — MCALISTER INSTITUTE FOR TREATMENT & EDUCATION, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MCALISTER INSTITUTE FOR TREATMENT & EDUCATION, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
OCEAN SHORES HIGH TEEN RECOVERY CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1407225899
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/06/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1400 N JOHNSON AVE
Provider Second Line Business Mailing Address:
STE 101
Provider Business Mailing Address City Name:
EL CAJON
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92020-1650
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
619-442-0277
Provider Business Mailing Address Fax Number:
619-442-1101

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3131 OCEANSIDE BLVD
Provider Second Line Business Practice Location Address:
ROOM 1
Provider Business Practice Location Address City Name:
OCEANSIDE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92056-2701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-726-4451
Provider Business Practice Location Address Fax Number:
760-726-4465
Provider Enumeration Date:
09/16/2015

Additional Information

Authorized Official

Authorized Official Last Name:
MCALISTER
Authorized Official First Name:
JEANNE
Authorized Official Middle Name:
AUDREY
Authorized Official Title or Position:
FOUNDER AND CEO
Authorized Official Telephone Number:
619-442-0277

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 106H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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