Prodigious Health Services, LLC
NPI #1093017931 in Warrenton, North Carolina
Provider Information
- NPI Number
- 1093017931
- Entity Type
- Organization
- Organization Name
- Prodigious Health Services, LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Nov 29, 2010
- Last Updated
- Nov 29, 2010
Practice Location
- Address
- 108 S BRAGG ST
- City
- Warrenton
- State
- North Carolina
- ZIP Code
- 27589-2048
- Phone
- (252) 257-6500
Authorized Official
- Name
- MR. BOBBY FAISON, MS
- Title
- PRESIDENT
- Phone
- (252) 433-0300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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