Healthcare Provider Details

I. General information

NPI: 1144329863
Provider Name (Legal Business Name): GRANT COUNTY CENTER FOR HUMAN DEVELOPMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

528 EAST MAIN ST SUITE W
JOHN DAY OR
97845
US

IV. Provider business mailing address

528 EAST MAIN ST SUITE W
JOHN DAY OR
97845
US

V. Phone/Fax

Practice location:
  • Phone: 541-575-1466
  • Fax: 541-575-1411
Mailing address:
  • Phone: 541-575-1466
  • Fax: 541-575-1411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateOR

VIII. Authorized Official

Name: MR. WILLIAM BRADEY HARRINGTON
Title or Position: DIRECTOR
Credential: BS QMHP
Phone: 541-575-1466