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
608 S DIVISION AVE, SANDPOINT, ID 83864-1749
(208) 265-5049
Mailing address
608 S DIVISION AVE, SANDPOINT, ID 83864-1749
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807294000
—
ID
05
—
808636100
—
ID
Enumeration date
04/08/2008
Last updated
04/09/2010
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