Provider Demographics
NPI:1679991558
Name:ALTERNATIVE COMMUNITY ENRICHMENT SERVICES, INC
Entity Type:Organization
Organization Name:ALTERNATIVE COMMUNITY ENRICHMENT SERVICES, INC
Other - Org Name:ACES COMMUNITY HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DON
Authorized Official - Middle Name:
Authorized Official - Last Name:GROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-619-0190
Mailing Address - Street 1:1700 E SCHNEIDMILLER AVE
Mailing Address - Street 2:
Mailing Address - City:POST FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83854-7085
Mailing Address - Country:US
Mailing Address - Phone:208-619-0190
Mailing Address - Fax:208-619-0195
Practice Address - Street 1:1417 N 4TH ST
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-3310
Practice Address - Country:US
Practice Address - Phone:208-292-2188
Practice Address - Fax:208-292-2189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-28
Last Update Date:2014-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty