Organization · Type 2 NPI
Prodigy Healthcare, Inc.
Substance Use Disorder Rehabilitation Clinic/Center · Caruthers, CA
NPI number
1144617176
Active
Practice location
2580 W Tahoe Ave
Caruthers, CA 93609-9475
Mailing address
PO Box 820
Fowler, CA 93625-0820
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
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About NPI 1144617176
Prodigy Healthcare, Inc.'s National Provider Identifier is 1144617176, issued on Apr 16, 2015. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Caruthers, CA. The record was last updated on Apr 16, 2015.