Codac At Desert Life

LBN: Codac Health, Recovery & Wellness, Inc.
Codac At Desert Life is an health care organization with primary practice located at 2001 W Orange Grove Rd Ste 416, Tucson AZ 85704-1139. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Codac Health, Recovery & Wellness, Inc. can be contacted via phone (520) 327-4505, or through Regnier, Dennis via phone (520) 327-4505.

Contact Information

Primary practice address
2001 W Orange Grove Rd Ste 416 Tucson AZ 85704-1139
Phone: (520) 327-4505
Fax: (520) 202-1889
Website:
Map and Directions
Authorized official contact:
Name: Regnier, Dennis
Phone: (520) 327-4505

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X CSLG7120 Arizona
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1235569328
LBN Legal business name Codac Health, Recovery & Wellness, Inc.
DBA Doing business as Codac At Desert Life
Authorized official Regnier, Dennis
Entity Organization
Organization subpart 1 No
Enumeration date Nov 26th, 2013
Last updated Sep 25th, 2015 - about 11 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 1235569328 NPPES
Arizona MEDICAID 025747

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