Organization
GRITMAN MEDICAL CENTER
Active
Other names
PALOUSE PSYCHIATRY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY MARTIN (CEO)
(208) 882-4511
Entity
Organization
Contact information
Practice address
804 S WA, A, MOSCOW, ID 83843
(208) 883-6476
(208) 883-6562
Mailing address
700 S MAIN ST, MOSCOW, ID 83843-3056
(208) 882-4511
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
39
ID
Other
Enumeration date
07/05/2007
Last updated
08/22/2020
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