Provider Demographics
NPI:1588715536
Name:A TO Z FAMILY SERVICES INC.
Entity type:Organization
Organization Name:A TO Z FAMILY SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR AND CLINICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:PERRENOUD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW CIBI
Authorized Official - Phone:208-374-5212
Mailing Address - Street 1:76 WEST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:DUBOIS
Mailing Address - State:ID
Mailing Address - Zip Code:83423
Mailing Address - Country:US
Mailing Address - Phone:208-374-5212
Mailing Address - Fax:208-374-5212
Practice Address - Street 1:76 WEST MAIN STREET
Practice Address - Street 2:
Practice Address - City:DUBOIS
Practice Address - State:ID
Practice Address - Zip Code:83423
Practice Address - Country:US
Practice Address - Phone:208-374-5212
Practice Address - Fax:208-374-5212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID8M895Medicare UPIN