Alliance Family Services North, Inc. | |
1200 Ironwood Drive Suite 101 Coeur D'alene ID 83864 | |
(208) 664-9729 | |
Not Available |
Full Name | Alliance Family Services North, Inc. |
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Speciality | Community/behavioral Health |
Location | 1200 Ironwood Drive, Coeur D'alene, 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 |
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Alliance Family Services North, Inc. 608 S Division Ave Sandpoint ID 83864-1749 Ph: () - | Alliance Family Services North, Inc. 1200 Ironwood Drive Suite 101 Coeur D'alene ID 83864 Ph: (208) 664-9729 |
NPI Number | 1740405380 |
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Provider Enumeration Date | 04/17/2007 |
Last Update Date | 02/24/2011 |
Identifier | Type | State | Issuer |
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1740405380 | NPI | - | NPPES |
807349200 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |