Organization
HUMAN SERVICE ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS JOHNSON (ADMINISTRATOR)
(208) 463-4757
Entity
Organization
Contact information
Practice address
1305 2ND ST S, NAMPA, ID 83651-3944
(208) 463-4757
(208) 463-4134
Mailing address
1305 2ND ST S, NAMPA, ID 83651-3944
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
ID
Other
Enumeration date
07/27/2007
Last updated
07/27/2007
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