Provider Demographics
NPI:1376756817
Name:NEW ALTERNATIVES, INCORPORATED
Entity Type:Organization
Organization Name:NEW ALTERNATIVES, INCORPORATED
Other - Org Name:NEW ALTERNATIVES, INC-SOUTH CAMPUS
Other - Org Type:Doing Business As
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 1:730 MEDICAL CENTER CT
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91911-6618
Practice Address - Country:US
Practice Address - Phone:619-543-0293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW ALTERNATIVES, INCORPORATED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-08
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA37B8OtherSOUTH CAMPUS CLINIC