Organization
PRODIGALS INTERNATIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN DULANEY (PRESIDENT)
(425) 419-6016
Entity
Organization
Contact information
Practice address
17320 135TH AVE NE, SUITE C, WOODINVILLE, WA 98072-8565
(425) 419-6016
Mailing address
6619 132ND AVE NE, PMB 262, KIRKLAND, WA 98033-8627
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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