Organization
ALLIANCE FAMILY SERVICES
Active
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
1200 W IRONWOOD DR, STE. 201, COEUR D ALENE, ID 83814-2660
(208) 664-9729
Mailing address
608 S DIVISION AVE, SANDPOINT, ID 83864-1749
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2010
Last updated
06/16/2010
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