| Center For Human Development, Inc. | |
|
2301 Cove Avenue La Grande OR 97850 | |
| (541) 962-8800 | |
| (541) 963-5272 |
| Full Name | Center For Human Development, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2301 Cove Avenue, La Grande, Oregon |
| Authorized Official Name and Position | Veronica Wood (AUTHORIZED DESIGNEE) |
| Authorized Official Contact | 5419628812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Human Development, Inc. 2301 Cove Avenue La Grande OR 97850 Ph: (541) 962-8800 | Center For Human Development, Inc. 2301 Cove Avenue La Grande OR 97850 Ph: (541) 962-8800 |
| NPI Number | 1497889695 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 09/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497889695 | NPI | - | NPPES |
| 240305 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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