# CODAC BEHAVIORAL HEALTH SERVICES OF PIMA COUNTY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Children & Adolescent Services (CAS)
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902092166
- **Authorized official:** MR. W MARK CLARK (CEO)
- **Authorized official phone:** (520) 327-4505

## Contact information

- **Practice address:** 160 W FORT LOWELL RD, TUCSON, AZ 85705-3812
- **Practice address phone:** (520) 318-3266
- **Practice address fax:** (520) 318-0821
- **Mailing address:** 127 S 5TH AVE, TUCSON, AZ 85701-2005
- **Mailing address phone:** (520) 327-4505
- **Mailing address fax:** (520) 202-1889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | BH-2093 | AZ | Yes |

## Other

- **Enumeration date:** 09/21/2007
- **Last updated:** 02/15/2008