Grande Ronde Recovery

NPI #1093998866 in La Grande, Oregon

Provider Information

NPI Number
1093998866
Entity Type
Organization
Organization Name
Grande Ronde Recovery
Primary Specialty
Psychiatry & Neurology - Addiction Psychiatry
Enumeration Date
Dec 14, 2007
Last Updated
Aug 28, 2008

Practice Location

Address
1101 I AVE
State
Oregon
ZIP Code
97850-2043
Phone
(541) 962-0162

Authorized Official

Name
MEGGEN M BROGOITTI
Title
OFFICE MANAGER
Phone
(541) 962-0162

Specialties & Taxonomy Codes

Specialty
Psychiatry & Neurology - Addiction PsychiatryAddiction Psychiatry

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