| Alliance Family Services North, Inc. | |
|
1200 Ironwood Drive Suite 101 Coeur D'alene ID 83864 | |
| (208) 664-9729 | |
| Not Available |
| Full Name | Alliance Family Services North, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1200 Ironwood Drive, Coeur D'alene, Idaho |
| Authorized Official Name and Position | Tracey Lange (DIRECTOR) |
| Authorized Official Contact | 2082655049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Family Services North, Inc. 608 S Division Ave Sandpoint ID 83864-1749 Ph: () - | Alliance Family Services North, Inc. 1200 Ironwood Drive Suite 101 Coeur D'alene ID 83864 Ph: (208) 664-9729 |
| NPI Number | 1740405380 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 02/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740405380 | NPI | - | NPPES |
| 807349200 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |