Prodigy Healthcare, Inc.
NPI #1972800340 in Fowler, California
Provider Information
- NPI Number
- 1972800340
- 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
- Feb 22, 2011
- Last Updated
- Jun 28, 2013
Practice Location
- Address
- 701 E WALTER AVE
- Address 2
- (ROOMS C10 AND C11)
- City
- Fowler
- State
- California
- ZIP Code
- 93625-9792
- Phone
- (888) 885-5580
Authorized Official
- Name
- MR. 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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