| Sequel Alliance Family Services, Llc | |
|
1200 W Ironwood Dr Ste 101 Coeur D Alene ID 83814-2660 | |
| (208) 664-9729 | |
| (208) 665-5735 |
| Full Name | Sequel Alliance Family Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1200 W Ironwood Dr Ste 101, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Mary E Caudle (CBO DIRECTOR OF PATIENT ACCOUNTS) |
| Authorized Official Contact | 2568803339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sequel Alliance Family Services, Llc 1131 Eagletree Ln Sw Huntsville AL 35801-6478 Ph: (256) 880-3339 | Sequel Alliance Family Services, Llc 1200 W Ironwood Dr Ste 101 Coeur D Alene ID 83814-2660 Ph: (208) 664-9729 |
| NPI Number | 1053734251 |
|---|---|
| Provider Enumeration Date | 01/24/2014 |
| Last Update Date | 01/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053734251 | NPI | - | NPPES |
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Idaho Dept Of Health & Welfare Reg 1 Amh Psr Cda Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2195 Ironwood Ct, Coeur D Alene, ID 83814 Phone: 208-769-1406 Fax: 208-769-1430 | |
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