| Prodigy Healthcare Inc. | |
|
3125 Wright St Selma CA 93662-2429 | |
| (559) 892-9452 | |
| Not Available |
| Full Name | Prodigy Healthcare Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3125 Wright St, Selma, California |
| Authorized Official Name and Position | Jagdip Dhanda (CEO) |
| Authorized Official Contact | 5598929452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prodigy Healthcare Inc. 311 E Merced St Fowler CA 93625-2316 Ph: (559) 892-9452 | Prodigy Healthcare Inc. 3125 Wright St Selma CA 93662-2429 Ph: (559) 892-9452 |
| NPI Number | 1487164877 |
|---|---|
| Provider Enumeration Date | 10/11/2017 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487164877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (California) | Primary |
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