Prodigy Foundation
Prodigy Foundation is a Community/Behavioral Health Agency in Tahlequah, Oklahoma. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
1024 S Muskogee AveTahlequah, OK 74464-4734
Phone: (918) 456-8399
Fax: (918) 456-8773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1700928603 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Barry Averett — Office Manager · (918) 456-8399 |
| NPI enumerated | February 14, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1024 S Muskogee Ave, Tahlequah, OK 74464-4734 |
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