| Alliance Family Services | |
|
89 Homer Dr St Maries ID 83861-5078 | |
| (208) 245-5427 | |
| Not Available |
| Full Name | Alliance Family Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 89 Homer Dr, St Maries, Idaho |
| Authorized Official Name and Position | Tracey Lange (OWNER) |
| Authorized Official Contact | 2082658195 |
| 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) 265-8195 | Alliance Family Services 89 Homer Dr St Maries ID 83861-5078 Ph: (208) 245-5427 |
| NPI Number | 1477812626 |
|---|---|
| Provider Enumeration Date | 05/09/2012 |
| Last Update Date | 05/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477812626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Idaho Dept Of Health & Welfare Reg 1 Amh Psr St Maries Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 S 7th St, St Maries, ID 83861 Phone: 208-245-2541 Fax: 208-245-7131 | |
Vista Outreach - Psr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 S 7th St, St Maries, ID 83861 Phone: 208-245-1920 Fax: 208-245-9206 | |
Sequel Alliance Family Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 89 Homer Dr, St Maries, ID 83861 Phone: 208-245-5427 Fax: 208-245-5427 | |
Vista Outreach - Mental Health Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 S 7th St, St Maries, ID 83861 Phone: 208-245-1920 Fax: 208-245-9206 | |
Lone Pine Behavioral Health Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1030 S 3rd St, St Maries, ID 83861 Phone: 208-274-3430 | |
Heritage Health Restored Paths Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 120 S 13th St, St Maries, ID 83861 Phone: 208-245-4363 Fax: 208-245-4349 |