institution
Prodigy Healthcare, Inc.
Substance Use Disorder Rehabilitation Clinic/Center in Fowler, California
NPI 1245537612

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 Fowler, CA. The NPI Number for Prodigy Healthcare, Inc. is 1245537612 and holds a License No. (California).

The current practice location address for Prodigy Healthcare, Inc. is 975 East Adams Avenue, Fowler, CA and can be reached out via phone at 888-885-5580 and via fax at 888-885-5580.

Location: 975 East Adams Avenue, Fowler, CA, 93625-0820
institution
Provider Profile Details
NPI Number
1245537612
Provider Name
Prodigy Healthcare, Inc.
Credential
Provider Entity Type
Organization
Address
975 East Adams Avenue, Fowler, CA, 93625-0820
Phone Number
888-885-5580
Fax Number
888-885-5580
Provider Enumeration Date
02/22/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 01 CA DRUG MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
975 East Adams Avenue
City
State
Zip
93625
Phone Number
888-885-5580
Fax Number
888-885-5580
person
Provider Business Mailing Address Details
Address
975 East Adams Avenue
City
State
Zip
93625
Phone Number
888-885-5580
Fax Number
888-885-5580
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
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Definition
Definition to come...
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