Organization Name: | ALLIANCE FAMILY SERVICES |
NPI Number: | 1932499738 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TRACEY LANGE (DIRECTOR) |
Mailing Address: | 186 E Main St Ste 4 Fernley |
State: | NV US |
Postal Code: | 894087717 |
Phone Number: | 7755759889 |
Fax Number: | |
NPI Enumeration Date: | 04/13/2011 |
NPI Last Update Date: | 04/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |