Provider Demographics
NPI:1508285701
Name:NEW ALTERNATIVES CAJON VALLEY
Entity Type:Organization
Organization Name:NEW ALTERNATIVES CAJON VALLEY
Other - Org Name:SATELLITE 9- RIOS ELEMENTARY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ISAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-254-2118
Mailing Address - Street 1:14314 RIOS CANYON RD
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92021-2761
Mailing Address - Country:US
Mailing Address - Phone:619-254-2118
Mailing Address - Fax:
Practice Address - Street 1:14314 RIOS CANYON RD
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92021-2761
Practice Address - Country:US
Practice Address - Phone:619-254-2118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW ALTERNATIVES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-04-15
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health