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Organization

CENTER FOR HUMAN DEVELOPMENT, INC

Active
Parent organization
CENTER FOR HUMAN DEVELOPMENT, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CENTER FOR HUMAN DEVELOPMENT, INC
Authorized official
VERONICA WOOD (AUTHORIZED DESIGNEE)
(541) 962-8812
Entity
Organization

Contact information

Practice address
2301 COVE AVENUE, LA GRANDE, OR 97850
(541) 962-8800
(541) 963-5272
Mailing address
2301 COVE AVENUE, LA GRANDE, OR 97850
(541) 962-8800
(541) 963-5272

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
CH-0000029
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
043120
OR
Enumeration date
03/16/2007
Last updated
09/17/2012
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