Prodigals International

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PRODIGALS INTERNATIONAL

Practice address

17320 135TH Ave NE
Suite C
Woodinville, WA 98072-8565

Phone

(425) 419-6016

NPI assigned

Oct 4, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephen Dulaney

Title

President

Phone

(425) 419-6016

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1861701187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6619 132ND AVE NE",
            "address_2": "PMB 262",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17320 135TH AVE NE",
            "address_2": "SUITE C",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728565",
            "telephone_number": "425-419-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRODIGALS INTERNATIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "DULANEY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-419-6016"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Woodinville, WA
• Providers in Woodinville, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.