| Center For Human Development, Inc. | |
|
703 O Ave La Grande OR 97850-1468 | |
| (541) 962-8800 | |
| (541) 963-5272 |
| Full Name | Center For Human Development, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 703 O Ave, La Grande, Oregon |
| Authorized Official Name and Position | Heidi Sue Halsey (LEAD BILLING SPECIALIST) |
| Authorized Official Contact | 5419628800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Human Development, Inc. 2301 Cove Ave La Grande OR 97850-3906 Ph: (541) 962-8800 | Center For Human Development, Inc. 703 O Ave La Grande OR 97850-1468 Ph: (541) 962-8800 |
| NPI Number | 1932878683 |
|---|---|
| Provider Enumeration Date | 09/07/2021 |
| Last Update Date | 09/08/2021 |
| Certification Date | 09/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932878683 | NPI | - | NPPES |
| OR05844 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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