Provider Demographics
NPI:1790090348
Name:MCALISTER INSTITUTE FOR TREATMENT & EDUCATION, INC.
Entity Type:Organization
Organization Name:MCALISTER INSTITUTE FOR TREATMENT & EDUCATION, INC.
Other - Org Name:EAST TEEN RECOVERY CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCALISTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-442-0277
Mailing Address - Street 1:1400 N JOHNSON AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-1650
Mailing Address - Country:US
Mailing Address - Phone:619-442-0277
Mailing Address - Fax:
Practice Address - Street 1:550 FESLER ST
Practice Address - Street 2:SUITE G 1 / G2
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-1901
Practice Address - Country:US
Practice Address - Phone:619-588-5421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-06
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA378558OtherCOUNTY PROVIDER NUMBER