Prodigy Healthcare Non Profit
NPI #1265158661 in Fowler, California
Provider Information
- NPI Number
- 1265158661
- Entity Type
- Organization
- Organization Name
- Prodigy Healthcare Non Profit
- Primary Specialty
- Clinic/Center - Adolescent and Children Mental Health
- Enumeration Date
- Oct 17, 2022
- Last Updated
- Oct 17, 2022
Practice Location
- Address
- 311 E MERCED ST
- City
- Fowler
- State
- California
- ZIP Code
- 93625-2316
- Phone
- (559) 892-9452
Authorized Official
- Name
- MR. JAGDIP DHANDA
- Title
- CEO
- Phone
- (559) 892-9452
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
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