NPI age
16 years
Enumerated 2009-06-08
● Active Type 2 · Organization
Grand Teton Service Group
Grand Teton Service Group is 1 of 27 residential treatment facility, intellectual and/or developmental disabilities organizations in Idaho.
Primary specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bowman
Program Director
Last NPPES update
2009-06-08
Source: monthly bulk 2026-05
How this organization compares
Across 27 active residential treatment facility, intellectual and/or developmental disabilities providers in Idaho.
NPI age
16 years
↑ 13 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-06Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
329 Park Ave
Idaho Falls, ID 834023610
Mailing address
Po Box 50457
Idaho Falls, ID 834050457
Authorized official
Lisa Bowman, MASTERS/PSYCHOLOGY
Program Director
📞 2085287443
Specialties
-
Residential Treatment Facility, Intellectual and/or Developmental Disabilities PrimaryA residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 0026966 |
Practice context
Single-site organization. Only one practice location on file.
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