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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