Provider Demographics
NPI:1598455859
Name:ALIGN TREATMENT CENTER LLC
Entity Type:Organization
Organization Name:ALIGN TREATMENT CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAUGHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-729-6462
Mailing Address - Street 1:9645 ALTO DR
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91941-4445
Mailing Address - Country:US
Mailing Address - Phone:619-729-6462
Mailing Address - Fax:866-375-1836
Practice Address - Street 1:285 GREEN AVE
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-6205
Practice Address - Country:US
Practice Address - Phone:760-975-3454
Practice Address - Fax:866-375-1836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA550008489OtherCALIFORNIA DEPARTMENT OF PUBLIC HEALTH