Organization
CODAC BEHAVIORAL HEALTH SERVICES, INC.
Active
Organization
CODAC BEHAVIORAL HEALTH SERVICES, INC.
Active
Other names
CODAC Recovery Support Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. W. MARK CLARK (CEO)
(520) 327-4505
Entity
Organization
Contact information
Practice address
3550 N 1ST AVE, SUITE 125, TUCSON, AZ 85719-1770
(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
251S00000X
Community/Behavioral Health Agency
Primary
CSA06ADHS0194 1
AZ
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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