Organization
GRITMAN MEDICAL CENTER INC
Active
Organization
GRITMAN MEDICAL CENTER INC
Active
Other names
GRITMAN CHILD CARE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY MARTIN (CEO)
(208) 882-4511
Entity
Organization
Contact information
Practice address
324 S CLEVELAND ST, MOSCOW, ID 83843-3768
(208) 883-6024
Mailing address
700 S MAIN ST, MOSCOW, ID 83843-3056
(208) 882-4511
(208) 883-6580
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
DC200706
ID
Other
Enumeration date
05/11/2007
Last updated
08/22/2020
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