Provider Demographics
NPI:1841422037
Name:ALDEA, INC.
Entity Type:Organization
Organization Name:ALDEA, INC.
Other - Org Name:ALDEA ADAPT
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-224-8266
Mailing Address - Street 1:PO BOX 841
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-0841
Mailing Address - Country:US
Mailing Address - Phone:707-253-9136
Mailing Address - Fax:707-253-9117
Practice Address - Street 1:1375 TROWER AVE
Practice Address - Street 2:400
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-2420
Practice Address - Country:US
Practice Address - Phone:707-253-9136
Practice Address - Fax:707-253-9117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-20
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health