Organization · Type 2 NPI
Prodigy Healthcare, Inc.
Substance Use Disorder Rehabilitation Clinic/Center · Fowler, CA
NPI number
1972800340
Active
Practice location
701 E Walter Ave, (rooms C10 And C11)
Fowler, CA 93625-9792
Fax (888) 885-5580
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...
Another provider at this address
Other substance use disorder rehabilitation clinic/center providers in Fowler
- Prodigy Healthcare, Inc.Substance Use Disorder Rehabilitation Clinic/Center Fowler, CA NPI 1245537612
- Prodigy Healthcare, Inc.Substance Use Disorder Rehabilitation Clinic/Center Fowler, CA NPI 1497051627
- Prodigy Healthcare, Inc.Substance Use Disorder Rehabilitation Clinic/Center Fowler, CA NPI 1710284229
About NPI 1972800340
Prodigy Healthcare, Inc.'s National Provider Identifier is 1972800340, 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 Jun 28, 2013.