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Codac Health, Recovery & Wellness, Inc.
Adolescent and Children Mental Health Clinic/Center in Tucson, Arizona
NPI 1235569328

Codac Health, Recovery & Wellness, Inc. is an Adolescent and Children Mental Health Clinic/Center based in Tucson, AZ and is specialized in Adolescent and Children Mental Health. Codac Health, Recovery & Wellness, Inc. practices in Tucson, AZ. The NPI Number for Codac Health, Recovery & Wellness, Inc. is 1235569328 and holds a License No. CSLG7120 (Arizona).

The current practice location address for Codac Health, Recovery & Wellness, Inc. is 2001 W Orange Grove Rd, Tucson, AZ and can be reached out via phone at 520-327-4505 and via fax at 520-202-1889.

Location: 2001 W Orange Grove Rd, Tucson, AZ, 85719-2374
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235569328
Provider Name
Codac Health, Recovery & Wellness, Inc.
Credential
Provider Entity Type
Organization
Address
2001 W Orange Grove Rd, Tucson, AZ, 85719-2374
Phone Number
520-327-4505
Fax Number
520-202-1889
Provider Enumeration Date
11/26/2013
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
025747 05 AZ
institution
Provider Business Practice Location Address Details
Address
2001 W Orange Grove Rd
City
Tucson
State
Arizona
Zip
85704-1139
Phone Number
520-327-4505
Fax Number
520-202-1889
person
Provider Business Mailing Address Details
Address
2001 W Orange Grove Rd
City
Tucson
State
Arizona
Zip
85704-1139
Phone Number
520-327-4505
Fax Number
520-202-1889
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
CSLG7120 (Arizona)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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