Organization
CODAC HEALTH RECOVERY AND WELLNESS
Active
Organization
CODAC HEALTH RECOVERY AND WELLNESS
Active
Other names
CODAC at Speedway
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL AXINN (CONTRACTS AND CREDENTIALING MANAGER)
(520) 202-1755
Entity
Organization
Contact information
Practice address
4585 E SPEEDWAY BLVD, TUCSON, AZ 85712-5309
(520) 327-4505
(520) 202-1889
Mailing address
1650 E FORT LOWELL RD STE 202, TUCSON, AZ 85719-2378
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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