PRODIGY FOUNDATION is an addiction (substance use disorder) counselor in Tahlequah, OK. PRODIGY FOUNDATION NPI is 1386665743. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
1024 S MUSKOGEE AVE
TAHLEQUAH, OK
ZIP 74464-734
Phone: (918) 456-8399
Fax: (918) 456-8773
The provider's authorized official is Susan Hope Roberts .
The authorized official title is Director and has the following contact phone number (918) 456-8399.
The enumeration date for this NPI number is 7/21/2006 and was last updated on 8/22/2020.