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Organization
CODAC HEALTH RECOVERY AND WELLNESS
Active
Organization
CODAC HEALTH RECOVERY AND WELLNESS
Active
Other names
CODAC Medication Assisted Addiction Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NORA NAVARRO-HERNANDEZ (SENIOR VICE PRESIDENT)
(520) 327-4505
Entity
Organization
Contact information
Practice address
380 E FORT LOWELL RD, TUCSON, AZ 85705-3985
(520) 202-1796
(520) 792-4977
Mailing address
1650 E FORT LOWELL RD STE 202, TUCSON, AZ 85719-2378
(520) 327-4505
(520) 202-1889
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000
—
AZ
Enumeration date
09/15/2017
Last updated
09/15/2017
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