Provider Demographics
NPI:1376080168
Name:CORRECTIONAL ALTERNATIVES LLC
Entity Type:Organization
Organization Name:CORRECTIONAL ALTERNATIVES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:M
Authorized Official - Last Name:GARFINKLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-263-3144
Mailing Address - Street 1:2727 BOSTON AVENUE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92113
Mailing Address - Country:US
Mailing Address - Phone:619-232-1066
Mailing Address - Fax:
Practice Address - Street 1:2727 BOSTON AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92113-3707
Practice Address - Country:US
Practice Address - Phone:619-232-1066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-31
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility