Organization
ALLIANCE FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY LANGE (OWNER)
(208) 265-8195
Entity
Organization
Contact information
Practice address
89 HOMER DR, ST MARIES, ID 83861-5078
(208) 245-5427
Mailing address
608 S DIVISION AVE, SANDPOINT, ID 83864-1749
(208) 265-8195
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/09/2012
Last updated
05/09/2012
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