Alpine Special Treatment Center

Organization Active NPI Mental Illness Intermediate Care Facility · Alpine, CA

NPI 1063589620 · NPPES record last updated May 19, 2021

Key facts

NPI
1063589620
Entity type
Organization (NPI type 2)
Primary specialty
Mental Illness Intermediate Care Facility 310500000X
Legal business name
ALPINE SPECIAL TREATMENT CENTER
Practice address
2120 Alpine Blvd
Alpine, CA 91901-2113
Phone
(619) 445-2644
Fax
(619) 659-3122
NPI assigned
Nov 29, 2006
Organization subpart
No

Authorized official

Name
Mrs. Kristin Allred, M.B.A.
Title
Administrator
Phone
(619) 445-7570

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Alpine Special Treatment Center (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Intermediate Care Facility 310500000X Yes

Addresses

Primary practice location

2120 Alpine Blvd
Alpine, CA 91901-2113

Mailing address

2120 Alpine Blvd
Alpine, CA 91901-2113
Phone (619) 445-2644

Other providers in Alpine, CA

All providers in Alpine, CA · Mental Illness Intermediate Care Facility in California

Sources for this page

Verify at the official NPI Registry.