Organization
A TO Z FAMILY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REBECCA J PERRENOUD LCSW CIBI ACADC (CEO)
(208) 785-1326
Entity
Organization
Contact information
Practice address
44 N MAIN, MALAD, ID 83252
(208) 766-2389
(208) 766-2385
Mailing address
44 N MAIN ST, MALAD CITY, ID 83252-1200
(208) 766-2389
(208) 766-2385
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-30276
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700036019
—
ID
Enumeration date
11/16/2010
Last updated
06/14/2011
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