Codac Health, Recovery & Wellness, INC.
Clinic/Center, Adult Mental Health in Tucson, AZ. Organization (NPI-2).
NPI number1174862007
StatusActive
Last updated in NPPESSep 25, 2015
Details
- NPI
- 1174862007
- Entity type
- Organization (NPI-2)
- Legal business name
- Codac Health, Recovery & Wellness, INC.
- Organization subpart
- No
- Enumeration date
- Feb 13, 2013
- Last updated
- Sep 25, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
Other names
- Codac At Alvernon (Doing Business As)
Practice location
630 N Alvernon WaySte 161
Tucson, AZ 85711-1843
Phone 520-318-9222 · Fax 520-318-3443
Mailing address
1650 E Fort Lowell RdSte 202
Tucson, AZ 85719-2374
Phone 520-327-4505 · Fax 520-202-1889
Authorized official
Dennis Regnier
Ceo
5203274505
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