PRODIGY FOUNDATION

Community/Behavioral Health

Active Organization
NPI: 1700928603

Practice Address

1024 S MUSKOGEE AVE
Tahlequah, OK 74464

Phone: (918) 456-8399

Specialties

Specialty Code Primary License
Community/Behavioral Health 251S00000X Yes -

Frequently Asked Questions

NPI 1700928603 is the National Provider Identifier for PRODIGY FOUNDATION, a Community/Behavioral Health provider located in Tahlequah, OK. This NPI was enumerated on February 14, 2007.

Quick Facts

NPI
1700928603
Type
Organization
Enumerated
Feb 14, 2007
Last Updated
Aug 22, 2020

Nearby Providers