Gila House

LBN: Codac Health, Recovery & Wellness, Inc.
Gila House is an health care organization with primary practice located at 2482 N Palo Verde Ave , Tucson AZ 85716-2548. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as 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
2482 N Palo Verde Ave Tucson AZ 85716-2548
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
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X Arizona

Profile Details

NPI number 1699226068
LBN Legal business name Codac Health, Recovery & Wellness, Inc.
DBA Doing business as Gila House
Authorized official Regnier, Dennis
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2016
Last updated Dec 27th, 2016 - about 8 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 1699226068 NPPES
Arizona Other BH5053 LICENSE

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