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Prodigy Healthcare, Inc.
Substance Use Disorder Rehabilitation Clinic/Center in Caruthers, California
NPI 1518354869

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 1518354869 and holds a License No. (California).

The current practice location address for Prodigy Healthcare, Inc. is 13620 S. Kincaid, Caruthers, CA and can be reached out via phone at 559-892-9452.

Location: 13620 S. Kincaid, Caruthers, CA, 93625-0820
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518354869
Provider Name
Prodigy Healthcare, Inc.
Credential
Provider Entity Type
Organization
Address
13620 S. Kincaid, Caruthers, CA, 93625-0820
Phone Number
559-892-9452
Fax Number
Provider Enumeration Date
04/23/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13620 S. Kincaid
City
Caruthers
State
California
Zip
93609
Phone Number
559-892-9452
Fax Number
person
Provider Business Mailing Address Details
Address
13620 S. Kincaid
City
Caruthers
State
California
Zip
93609
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
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