Organization
ALLIANCE FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY LANGE (DIRECTOR)
(208) 265-5049
Entity
Organization
Contact information
Practice address
212 RODEO DR, STE 410, MOSCOW, ID 83843-9798
(208) 882-5960
Mailing address
608 S DIVISION AVE, SANDPOINT, ID 83864-1749
(208) 265-5049
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/07/2010
Last updated
08/28/2012
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