Codac Recovery Bridge/ North

LBN: Codac Behavioral Health Services Of Pima County, Inc
Codac Recovery Bridge/ North is an health care organization with primary practice located at 3550 N 1St Ave Suite 100, 125, 150, Tucson AZ 85719-1770. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Codac Behavioral Health Services Of Pima County, Inc can be contacted via phone (520) 327-4505, or through Clark, W. Mark via phone (520) 327-4505.

Contact Information

Primary practice address
3550 N 1St Ave Suite 100, 125, 150 Tucson AZ 85719-1770
Phone: (520) 327-4505
Fax: (520) 202-1889
Website:
Map and Directions
Authorized official contact:
Name: Clark, W. Mark
Phone: (520) 327-4505

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X BH-2543 Arizona

Profile Details

NPI number 1679793301
LBN Legal business name Codac Behavioral Health Services Of Pima County, Inc
DBA Doing business as Codac Recovery Bridge/ North
Authorized official Clark, W. Mark
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2007
Last updated Feb 15th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679793301 NPPES
Arizona MEDICAID 237325

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