Organization
CODAC BEHAVIORAL HEALTH SERVICES OF PIMA COUNTY, INC.
Active
Organization
CODAC BEHAVIORAL HEALTH SERVICES OF PIMA COUNTY, INC.
Active
Other names
CODAC East
Organization subpart
No
Provider details
NPI number
Authorized official
MR. W. MARK CLARK (CEO)
(520) 327-4505
Entity
Organization
Contact information
Practice address
4901 E 5TH ST, TUCSON, AZ 85711-2203
(520) 327-4505
(520) 202-1889
Mailing address
127 S 5TH AVE, TUCSON, AZ 85701-2005
(520) 327-4505
(520) 202-1889
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
BH-1632
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343872
—
AZ
Enumeration date
07/08/2006
Last updated
02/15/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up