Provider Demographics
NPI:1033419148
Name:MCALISTER INSTITUTE FOR TREATMENT & EDUCATION, INC.
Entity Type:Organization
Organization Name:MCALISTER INSTITUTE FOR TREATMENT & EDUCATION, INC.
Other - Org Name:NORTH RURAL TEEN RECOVERY CENTER MONECITO
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCALISTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-442-0277
Mailing Address - Street 1:1400 NORTH JOHMSON AVE
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:720 9TH ST
Practice Address - Street 2:
Practice Address - City:RAMONA
Practice Address - State:CA
Practice Address - Zip Code:92065-2348
Practice Address - Country:US
Practice Address - Phone:760-788-6520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MCALISTER INSTITUTE FOR TREATMENT & EDUCATION, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-10-25
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
37-8550OtherMEDI-CAL