| Alliance Family Services | |
|
212 Rodeo Dr Ste 410 Moscow ID 83843-9798 | |
| (208) 882-5960 | |
| Not Available |
| Full Name | Alliance Family Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 212 Rodeo Dr, Moscow, Idaho |
| Authorized Official Name and Position | Tracey Lange (DIRECTOR) |
| Authorized Official Contact | 2082655049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Family Services 608 S Division Ave Sandpoint ID 83864-1749 Ph: (208) 265-5049 | Alliance Family Services 212 Rodeo Dr Ste 410 Moscow ID 83843-9798 Ph: (208) 882-5960 |
| NPI Number | 1629398201 |
|---|---|
| Provider Enumeration Date | 06/07/2010 |
| Last Update Date | 08/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629398201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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