Syringa Family Partnership, LLC

NPI #1962658500 in Coeur D Alene, Idaho

Provider Information

NPI Number
1962658500
Entity Type
Organization
Organization Name
Syringa Family Partnership, LLC
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Aug 14, 2008
Last Updated
Aug 14, 2008

Practice Location

Address
3650 N GOVERNMENT WAY
Address 2
SUITE L
State
Idaho
ZIP Code
83815-8331
Phone
(208) 676-1693

Authorized Official

Name
MRS. COLLEEN IRENE SISK, BSW
Title
OWNER / DIRECTOR
Phone
(208) 771-1551

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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