Organization Name: | ALBA WELLNESS INCORPORATED |
NPI Number: | 1891033577 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SEAN ALLEN POST (PRESIDENT) |
Mailing Address: | 433 Kitty Hawk Rd Suite 219 Universal City |
State: | TX US |
Postal Code: | 781483357 |
Phone Number: | 2108275513 |
Fax Number: | |
NPI Enumeration Date: | 01/30/2013 |
NPI Last Update Date: | 07/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 66265 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |