| Organization Name: | CENTER FOR HUMAN DEVELOPMENT, INC |
| NPI Number: | 1154455350 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VERONICA WOOD (AUTHORIZED DESIGNEE) |
| Mailing Address: | 2301 Cove Avenue La Grande |
| State: | OR US |
| Postal Code: | 97850 |
| Phone Number: | 5419628800 |
| Fax Number: | 5419635272 |
| NPI Enumeration Date: | 03/16/2007 |
| NPI Last Update Date: | 09/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | CH-0000029 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |