GRAND TETON SERVICE GROUP is a community based residential treatment facility, intellectual and/or developmental disabilities in Idaho Falls, ID. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. GRAND TETON SERVICE GROUP NPI is 1578724910. The provider is registered as an organization entity type.
The provider's business location address is:
329 PARK AVE
IDAHO FALLS, ID
ZIP 83402-610
Phone: (208) 528-7443
Fax: (208) 529-3134
The provider's authorized official is Lisa Bowman .
The authorized official title is Program Director and has the following contact phone number (208) 528-7443.
The enumeration date for this NPI number is 6/18/2008 and was last updated on 6/18/2008.