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Organization

DG PSYCHIATRIC SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DINO J GIOLITTI ARNP (OWNER)
(208) 413-9973
Entity
Organization

Contact information

Practice address
523 1/2 MAIN ST STE 7, LEWISTON, ID 83501-1870
(208) 413-9973
(208) 413-9976
Mailing address
928 GRELLE AVE, LEWISTON, ID 83501-5202
(208) 413-9973
(208) 413-9976

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
04/16/2019
Last updated
04/16/2019
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