Provider Demographics
NPI:1073789558
Name:NEW ALTERNATIVES, INC--CVLY
Entity Type:Organization
Organization Name:NEW ALTERNATIVES, INC--CVLY
Other - Org Name:CVLY--LOS COCHES CREEK MIDDLE
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:BRUICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-543-0293
Mailing Address - Street 1:PO BOX 34219
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92163-4219
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9669 DUNBAR LN
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92021-2619
Practice Address - Country:US
Practice Address - Phone:619-588-3653
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW ALTERNATIVES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-05
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health