Provider Demographics
NPI:1518094622
Name:ALLIANCE CHILDREN'S SERVICES, INC.
Entity Type:Organization
Organization Name:ALLIANCE CHILDREN'S SERVICES, INC.
Other - Org Name:ALLIANCE CHILDREN AND ADOLESCENT SERVICES, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:DODOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-332-3366
Mailing Address - Street 1:49 LEXINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02465-1062
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1110 W WILLIAM CANNON DR STE 500
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-5460
Practice Address - Country:US
Practice Address - Phone:512-326-8866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health