Organization · Type 2 NPI

Prodigy Healthcare, Inc.

Substance Use Disorder Rehabilitation Clinic/Center · Firebaugh, CA

NPI number 1134425200 Active

Practice location

1666 Saipan Ave, (rooms 1-8)
Firebaugh, CA 93622-2438

Fax (888) 885-5580

Mailing address

PO Box 820
Fowler, CA 93625-0820

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

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About NPI 1134425200

Prodigy Healthcare, Inc.'s National Provider Identifier is 1134425200, issued on Feb 7, 2011. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Firebaugh, CA. The record was last updated on Jun 28, 2013.