Provider Demographics
NPI:1639576002
Name:ALDEA CHILDREN AND FAMILY SERVICES
Entity Type:Organization
Organization Name:ALDEA CHILDREN AND FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILINGUAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:C
Authorized Official - Last Name:MONTES
Authorized Official - Suffix:
Authorized Official - Credentials:MFTI
Authorized Official - Phone:786-752-2558
Mailing Address - Street 1:1546 1ST ST
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-2841
Mailing Address - Country:US
Mailing Address - Phone:707-253-0123
Mailing Address - Fax:707-253-8118
Practice Address - Street 1:1546 FIRST STREET
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:64559
Practice Address - Country:US
Practice Address - Phone:707-253-0123
Practice Address - Fax:707-253-8118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-01
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA78516106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty