# ALLIANCE FAMILY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649539156
- **Authorized official:** TRACEY LANGE (OWNER)
- **Authorized official phone:** (208) 265-8195

## Contact information

- **Practice address:** 1200 W IRONWOOD DR, STE. 101, COEUR D ALENE, ID 83814-2660
- **Practice address phone:** (208) 664-9729
- **Mailing address:** 608 S DIVISION AVE, SANDPOINT, ID 83864-1749
- **Mailing address phone:** (208) 265-8195

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/04/2012
- **Last updated:** 06/06/2012