| Alliance Family Services North | |
|
608 S Division Ave Sandpoint ID 83864-1749 | |
| (208) 265-5049 | |
| (208) 263-7515 |
| Full Name | Alliance Family Services North |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 608 S Division Ave, Sandpoint, Idaho |
| Authorized Official Name and Position | Alicia Ann Gabica-grand (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 2082655049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Family Services North 608 S Division Ave Sandpoint ID 83864-1749 Ph: (208) 265-5049 | Alliance Family Services North 608 S Division Ave Sandpoint ID 83864-1749 Ph: (208) 265-5049 |
| NPI Number | 1366697575 |
|---|---|
| Provider Enumeration Date | 12/02/2008 |
| Last Update Date | 12/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366697575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LMSW-29175 (Idaho) | Primary |
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