Provider Demographics
NPI:1831310804
Name:ALTERNATIVE COMMUNITY ENRICHMENT SERVICES
Entity Type:Organization
Organization Name:ALTERNATIVE COMMUNITY ENRICHMENT SERVICES
Other - Org Name:ACES COMMUNITY SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:CORPORATE AUDITOR
Authorized Official - Prefix:
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:FAIRCHILD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-762-5433
Mailing Address - Street 1:1500 HIGHWAY 2 STE 336
Mailing Address - Street 2:
Mailing Address - City:SANDPOINT
Mailing Address - State:ID
Mailing Address - Zip Code:83864-1793
Mailing Address - Country:US
Mailing Address - Phone:208-255-2585
Mailing Address - Fax:
Practice Address - Street 1:1500 HIGHWAY 2 STE 336
Practice Address - Street 2:
Practice Address - City:SANDPOINT
Practice Address - State:ID
Practice Address - Zip Code:83864-1793
Practice Address - Country:US
Practice Address - Phone:208-255-2585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health