Provider Demographics
NPI:1437877123
Name:ALBA CENTER MARRIAGE AND FAMILY THERPAY PC
Entity Type:Organization
Organization Name:ALBA CENTER MARRIAGE AND FAMILY THERPAY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ESTELA
Authorized Official - Middle Name:CECILIA
Authorized Official - Last Name:BOBADILLA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:619-370-7545
Mailing Address - Street 1:2729 4TH AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-6223
Mailing Address - Country:US
Mailing Address - Phone:619-370-7545
Mailing Address - Fax:619-924-0298
Practice Address - Street 1:2729 4TH AVE STE 3
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-6223
Practice Address - Country:US
Practice Address - Phone:619-370-7545
Practice Address - Fax:619-924-0298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalystGroup - Single Specialty