Organization · Type 2 NPI
Prodigy Healthcare Inc.
Addiction (Substance Use Disorder) Counselor · Selma, CA
NPI number
1487164877
Active
Practice location
3125 Wright St
Selma, CA 93662-2429
Mailing address
311 E Merced St
Fowler, CA 93625-2316
Other practice locations
- 2269 Sylvia St, Selma, CA 93662-3436 · (559) 892-9452
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
About NPI 1487164877
Prodigy Healthcare Inc.'s National Provider Identifier is 1487164877, issued on Oct 11, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Selma, CA. The record was last updated on Mar 17, 2018.