| Alliance Family Services North, Inc. | |
|
14 Emerson Ln Kellogg ID 83837-2454 | |
| (208) 783-0660 | |
| Not Available |
| Full Name | Alliance Family Services North, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14 Emerson Ln, Kellogg, 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. 14 Emerson Ln Kellogg ID 83837-2454 Ph: (208) 783-0660 |
| NPI Number | 1851517346 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 02/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851517346 | NPI | - | NPPES |
| 807349100 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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