NPI 1174767180 · live from the CMS NPI Registry
Alternative Community Enrichment Services, INC.
Social Worker in Wallace, ID. National Provider Identifier 1174767180, active.
NPI record
| NPI | 1174767180 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 609 Bank Street, Wallace, ID 83873 |
| Practice phone | 208-556-0960 |
| Mailing address | 1417 N 4th Street, Ste. 100, Coeur D Alene, ID 83814 |
| Enumerated | April 22, 2009 |
| Last updated | March 11, 2011 |
| Authorized official | Michelle Wood, Operations Manager |
| Other names | Aces Community |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management | 251B00000X | — |
| Community/Behavioral Health | 251S00000X | — |
| Social Worker primary | 104100000X | — (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.