Organization
PRODIGY HEALTHCARE NON PROFIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAGDIP DHANDA (CEO)
(559) 892-9452
Entity
Organization
Contact information
Practice address
311 E MERCED ST, FOWLER, CA 93625-2316
(559) 892-9452
Mailing address
311 E MERCED ST, FOWLER, CA 93625-2316
(559) 892-9452
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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