| NPI | 1376313973 |
|---|---|
| Doing Business As | PRODIGAL COUNSELING SERVICES |
| Entity Type | Organization |
| Authorized Contact | NINA J ROY Reconciliation Director 270-585-4306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2024-01-04 |