Organization
CODAC HEALTH RECOVERY AND WELLNESS
Active
Parent organization
CODAC HEALTH RECOVERY AND WELLNESS
Other names
CODAC at Alvernon
Organization subpart
Yes
Provider details
NPI number
Legal business name
CODAC HEALTH RECOVERY AND WELLNESS
Authorized official
PAUL AXINN (CONTRACTS AND CREDENTIALING MANAGER)
(520) 202-1755
Entity
Organization
Contact information
Practice address
630 N ALVERNON WAY STE 161, TUCSON, AZ 85711-1895
(520) 318-9222
(520) 318-9094
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
Primary
—
—
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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