| Crt Children Services Llc | |
|
212 Rodeo Dr Ste 510 Moscow ID 83843-9795 | |
| (208) 874-8002 | |
| (208) 596-4010 |
| Full Name | Crt Children Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 212 Rodeo Dr Ste 510, Moscow, Idaho |
| Authorized Official Name and Position | Calvin Roger Stowe (ADMINISTRATOR) |
| Authorized Official Contact | 2083402370 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crt Children Services Llc Po Box 3491 Moscow ID 83843-1912 Ph: (208) 340-2370 | Crt Children Services Llc 212 Rodeo Dr Ste 510 Moscow ID 83843-9795 Ph: (208) 874-8002 |
| NPI Number | 1740835834 |
|---|---|
| Provider Enumeration Date | 08/06/2019 |
| Last Update Date | 09/15/2021 |
| Certification Date | 09/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740835834 | NPI | - | NPPES |
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