PRODIGY FOUNDATION

TAHLEQUAH, OK
NPI1386665743
Entity TypeOrganization
Authorized ContactSUSAN HOPE ROBERTS
Director
918-456-8399
Organization Subpart ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies101YM0800X Counselor, Mental Health
101YP2500X Counselor, Professional
1041C0700X Social Worker, Clinical
Enumeration Date2006-07-21
Last Update Date2020-08-22
Business Address
PRODIGY FOUNDATION
1024 S MUSKOGEE AVE
TAHLEQUAH, OK 74464-4734
Phone number: 918-456-8399
Mailing Address
PRODIGY FOUNDATION
PO BOX 1247
TAHLEQUAH, OK 74465-1247
Phone number: 918-456-8399