Codac Medication Assisted Addiction Treatment
LBN: Codac Health Recovery And Wellness
Codac Medication Assisted Addiction Treatment is an health care organization with primary practice located at 380 E Fort Lowell Rd , Tucson AZ 85705-3985. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Codac Health Recovery And Wellness can be contacted via phone (520) 202-1796, or through Navarro-Hernandez, Nora via phone (520) 327-4505.
Contact Information
Primary practice address
380 E Fort Lowell Rd
Tucson AZ 85705-3985
Phone: (520) 202-1796
Fax: (520) 792-4977
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Community Health | 261QC1500X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1992224455 |
|---|---|
| LBN Legal business name | Codac Health Recovery And Wellness |
| DBA Doing business as | Codac Medication Assisted Addiction Treatment |
| Authorized official | Navarro-Hernandez, Nora |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 15th, 2017 |
| Last updated | Sep 15th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992224455 | NPPES |
| Arizona | MEDICAID | 000000 |
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