# CODAC HEALTH RECOVERY AND WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CODAC HEALTH RECOVERY AND WELLNESS
- **Other names:** CODAC at Alvernon
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578070447
- **Legal business name:** CODAC HEALTH RECOVERY AND WELLNESS
- **Authorized official:** PAUL AXINN (CONTRACTS AND CREDENTIALING MANAGER)
- **Authorized official phone:** (520) 202-1755

## Contact information

- **Practice address:** 630 N ALVERNON WAY STE 161, TUCSON, AZ 85711-1895
- **Practice address phone:** (520) 318-9222
- **Practice address fax:** (520) 318-9094
- **Mailing address:** 1650 E FORT LOWELL RD STE 202, TUCSON, AZ 85719-2378
- **Mailing address phone:** (520) 327-4505
- **Mailing address fax:** (520) 202-1889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/02/2018
- **Last updated:** 01/02/2018