Organization
ALLIANCE FAMILY SERVICES NORTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY LANGE (DIRECTOR)
(208) 265-5049
Entity
Organization
Contact information
Practice address
1200 W IRONWOOD DR STE 101, COEUR D ALENE, ID 83814-2660
(208) 265-5049
Mailing address
608 S DIVISION AVE, SANDPOINT, ID 83864-1749
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/08/2008
Last updated
07/30/2013
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