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Organization

ALLIANCE FAMILY SERVICES NORTH, INC.

Active
Other names
Alliance Family Services
Organization subpart
No

Provider details

NPI number
Authorized official
TRACEY LANGE (DIRECTOR)
(208) 265-5049
Entity
Organization

Contact information

Practice address
709 CENTER AVE, ST MARIES, ID 83861-1855
(208) 245-5427
Mailing address
608 S DIVISION AVE, SANDPOINT, ID 83864-1749
(208) 265-5049
(208) 263-7515

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
808312800
ID
Enumeration date
05/04/2009
Last updated
05/04/2009
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