Organization · Type 2 NPI

Prodigy Healthcare, Inc.

Substance Use Disorder Rehabilitation Clinic/Center · Fowler, CA

NPI number 1245537612 Active

Practice location

975 East Adams Avenue, (rooms 1-5,OFFICES 1-3)
Fowler, CA 93625

Call (888) 885-5580 Map

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

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About NPI 1245537612

Prodigy Healthcare, Inc.'s National Provider Identifier is 1245537612, issued on Feb 22, 2011. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Fowler, CA. The record was last updated on Jul 16, 2013.