Organization · Type 2 NPI
Prodigy Healthcare, Inc.
Substance Use Disorder Rehabilitation Clinic/Center · Firebaugh, CA
NPI number
1689970766
Active
Practice location
1191 P St, (mo, Rooms 1-20)
Firebaugh, CA 93622-2230
Fax (888) 888-5580
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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- Prodigy Healthcare, Inc.Substance Use Disorder Rehabilitation Clinic/Center Firebaugh, CA NPI 1316243546
About NPI 1689970766
Prodigy Healthcare, Inc.'s National Provider Identifier is 1689970766, 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 Feb 7, 2011.