Provider Demographics
NPI:1730459397
Name:A TO Z FAMILY SERVICES
Entity Type:Organization
Organization Name:A TO Z FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BARY
Authorized Official - Middle Name:ROBB
Authorized Official - Last Name:REDFORD
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:208-604-0098
Mailing Address - Street 1:PO BOX 182
Mailing Address - Street 2:
Mailing Address - City:MALAD CITY
Mailing Address - State:ID
Mailing Address - Zip Code:83252-0182
Mailing Address - Country:US
Mailing Address - Phone:208-766-2389
Mailing Address - Fax:208-766-2385
Practice Address - Street 1:44 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MALAD CITY
Practice Address - State:ID
Practice Address - Zip Code:83252-1200
Practice Address - Country:US
Practice Address - Phone:208-766-2389
Practice Address - Fax:208-766-2385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-12
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)