Organization
GRANDE RONDE CHILD CENTER, INC.
Active
Organization
GRANDE RONDE CHILD CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM SHEEHY L.C.S.W. (EXECUTIVE DIRECTOR)
(541) 963-8666
Entity
Organization
Contact information
Practice address
902 D AVE, LA GRANDE, OR 97850-1970
(541) 963-8666
Mailing address
902 D AVE, LA GRANDE, OR 97850-1970
(541) 963-8666
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234855
—
OR
Enumeration date
12/18/2006
Last updated
08/22/2020
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