Provider Demographics
NPI:1871737056
Name:ALTA INSTITUTE, INC.
Entity type:Organization
Organization Name:ALTA INSTITUTE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HANDLERS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW/LCSW
Authorized Official - Phone:714-680-0241
Mailing Address - Street 1:524 W.. COMMONWEALTH AVENUE
Mailing Address - Street 2:SUITE K
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92832-1764
Mailing Address - Country:US
Mailing Address - Phone:714-680-0241
Mailing Address - Fax:714-680-9538
Practice Address - Street 1:524 W.. COMMONWEALTH AVENUE
Practice Address - Street 2:SUITE K
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92832-1764
Practice Address - Country:US
Practice Address - Phone:714-680-0241
Practice Address - Fax:714-680-9538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-01
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3001118P251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health