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Prodigy Healthcare, Inc.
Substance Use Disorder Rehabilitation Clinic/Center in Caruthers, California
NPI 1144617176

Prodigy Healthcare, Inc. is a Substance Use Disorder Rehabilitation Clinic/Center based in Fowler, CA and is specialized in Rehabilitation, Substance Use Disorder. Prodigy Healthcare, Inc. practices in Caruthers, CA. The NPI Number for Prodigy Healthcare, Inc. is 1144617176 and holds a License No. (California).

The current practice location address for Prodigy Healthcare, Inc. is 2580 W Tahoe Ave, Caruthers, CA and can be reached out via phone at 559-892-9452.

Location: 2580 W Tahoe Ave, Caruthers, CA, 93625-0820
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144617176
Provider Name
Prodigy Healthcare, Inc.
Credential
Provider Entity Type
Organization
Address
2580 W Tahoe Ave, Caruthers, CA, 93625-0820
Phone Number
559-892-9452
Fax Number
Provider Enumeration Date
04/16/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2580 W Tahoe Ave
City
Caruthers
State
California
Zip
93609-9475
Phone Number
559-892-9452
Fax Number
person
Provider Business Mailing Address Details
Address
2580 W Tahoe Ave
City
Caruthers
State
California
Zip
93609-9475
Phone Number
559-892-9452
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
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Definition
Definition to come...
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