| Gritman Psychiatric Services | |
|
803 S Main St Ste 210 Moscow ID 83843-2695 | |
| (208) 883-6774 | |
| (208) 883-1398 |
| Full Name | Gritman Psychiatric Services |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 803 S Main St Ste 210, Moscow, Idaho |
| Authorized Official Name and Position | Teresa Thorston (PFS SUPER VISOR) |
| Authorized Official Contact | 2088854511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gritman Psychiatric Services Po Box 8007 Moscow ID 83843-0507 Ph: (208) 882-4511 | Gritman Psychiatric Services 803 S Main St Ste 210 Moscow ID 83843-2695 Ph: (208) 883-6774 |
| NPI Number | 1235626474 |
|---|---|
| Provider Enumeration Date | 04/13/2018 |
| Last Update Date | 05/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235626474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 39 (Idaho) | Secondary |
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