| Allies Family Solutions | |
|
850 E Lander St Pocatello ID 83201-5763 | |
| (208) 234-2094 | |
| (208) 234-2637 |
| Full Name | Allies Family Solutions |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 850 E Lander St, Pocatello, Idaho |
| Authorized Official Name and Position | Preston Graham (OWNER) |
| Authorized Official Contact | 2082342094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allies Family Solutions 850 E Lander St Pocatello ID 83201-5763 Ph: (208) 234-2094 | Allies Family Solutions 850 E Lander St Pocatello ID 83201-5763 Ph: (208) 234-2094 |
| NPI Number | 1013130418 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 05/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013130418 | NPI | - | NPPES |
| 8040504 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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