Organization
ALLIES FAMILY SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRESTON GRAHAM (OWNER)
(208) 234-2094
Entity
Organization
Contact information
Practice address
850 E LANDER ST, POCATELLO, ID 83201-5763
(208) 234-2094
(208) 234-2637
Mailing address
850 E LANDER ST, POCATELLO, ID 83201-5763
(208) 234-2094
(208) 234-2637
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8040504
—
ID
Enumeration date
04/11/2007
Last updated
05/09/2008
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