Organization
ALLIANCE FAMILY SERVICES NORTH, INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY LANGE (DIRECTOR)
(208) 265-5049
Entity
Organization
Contact information
Practice address
14 EMERSON LN, KELLOGG, ID 83837-2454
(208) 783-0660
Mailing address
608 S DIVISION AVE, SANDPOINT, ID 83864-1749
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807345100
—
ID
Enumeration date
04/11/2007
Last updated
02/24/2011
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