Prodigy Healthcare, Inc.
NPI #1144617176 in Caruthers, California
Provider Information
- NPI Number
- 1144617176
- Entity Type
- Organization
- Organization Name
- Prodigy Healthcare, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PRODIGY HEALTHCARE, INC.
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Apr 16, 2015
- Last Updated
- Apr 16, 2015
Practice Location
- Address
- 2580 W TAHOE AVE
- City
- Caruthers
- State
- California
- ZIP Code
- 93609-9475
- Phone
- (559) 892-9452
Authorized Official
- Name
- JAGDIP DHANDA
- Title
- CEO
- Phone
- (559) 892-9452
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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