| Codac Health, Recovery & Wellness, Inc. | |
|
1080 S 10th Ave Tucson AZ 85701-2907 | |
| (520) 623-3533 | |
| (520) 594-6345 |
| Full Name | Codac Health, Recovery & Wellness, Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1080 S 10th Ave, Tucson, Arizona |
| Authorized Official Name and Position | Dennis Regnier (CEO) |
| Authorized Official Contact | 5203274505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Codac Health, Recovery & Wellness, Inc. 1650 E Fort Lowell Rd Suite 202 Tucson AZ 85719-2374 Ph: (520) 327-4505 | Codac Health, Recovery & Wellness, Inc. 1080 S 10th Ave Tucson AZ 85701-2907 Ph: (520) 623-3533 |
| NPI Number | 1952685414 |
|---|---|
| Provider Enumeration Date | 10/03/2011 |
| Last Update Date | 09/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952685414 | NPI | - | NPPES |
| 653946 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | BH-3922 (Arizona) | Primary |
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Perception Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1213 E Warehouse Avenue, Tucson, AZ 85719 Phone: 520-623-7077 | |
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