NPI 1871708289

Gritman Medical Center INC

Organisation Developmentally Disabled Services Day Training Agency Moscow, ID

Practice location

Address: 324 S Cleveland St, Moscow, ID 83843-3768
Phone: (208) 883-6024
Mailing address: 700 S Main St, Moscow, ID 83843-3056

Authorised official

Name: Jeffery Martin
Title: Ceo
Phone: (208) 882-4511

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X Licence DC200706 (ID)

Other Day Training, Developmentally Disabled Services providers in Idaho →

Registry record

NPI: 1871708289
Entity type: Organization
NPI issued: 11 May 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.