Organization · Type 2 NPI

Prodigy Foundation

Community/Behavioral Health Agency · Tahlequah, OK

NPI number 1700928603 Active

Practice location

1024 S Muskogee Ave
Tahlequah, OK 74464-4734

Call (918) 456-8399 Map

Fax (918) 456-8773

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

2 other providers at this address

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About NPI 1700928603

Prodigy Foundation's National Provider Identifier is 1700928603, issued on Feb 14, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Tahlequah, OK. The record was last updated on Aug 22, 2020.