Organization · Type 2 NPI

Prodigy Healthcare, Inc.

Substance Use Disorder Rehabilitation Clinic/Center · Fowler, CA

NPI number 1497051627 Active

Practice location

311 E Merced St, (rooms 1-7 , Conference Room )
Fowler, CA 93625-2316

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 1497051627

Prodigy Healthcare, Inc.'s National Provider Identifier is 1497051627, issued on Feb 5, 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 Nov 27, 2013.