Alliance Family Services
Clinic/Center, Mental Health (Including Community Mental Health Center) in St Maries, ID. Organization (NPI-2).
NPI number1477812626
StatusActive
Last updated in NPPESMay 9, 2012
Details
- NPI
- 1477812626
- Entity type
- Organization (NPI-2)
- Legal business name
- Alliance Family Services
- Organization subpart
- No
- Enumeration date
- May 9, 2012
- Last updated
- May 9, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
89 Homer DrSt Maries, ID 83861-5078
Phone 208-245-5427
Mailing address
608 S Division AveSandpoint, ID 83864-1749
Phone 208-265-8195
Authorized official
Tracey Lange
Owner
2082658195
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