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
3435 W CRAIG RD, STE A, NORTH LAS VEGAS, NV 89032-5115
(208) 265-5049
Mailing address
608 S DIVISION AVE, SANDPOINT, ID 83864-1749
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
06/13/2008
Last updated
02/23/2011
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