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CODAC BEHAVIORAL HEALTH SERVICES OF PIMA COUNTY INC. NPI 1497058150


NPI Information

NPI: 1497058150
Provider Name: CODAC BEHAVIORAL HEALTH SERVICES OF PIMA COUNTY, INC.

Doing Business As: CODAC ARC

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
2226 N AVENIDA EL CAPITAN
TUCSON, AZ
ZIP 85705
Phone: (520) 327-4505
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CODAC BEHAVIORAL HEALTH SERVICES OF PIMA COUNTY, INC. is a community based residential treatment facility mental illness in Tucson, AZ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. CODAC BEHAVIORAL HEALTH SERVICES OF PIMA COUNTY, INC. NPI is 1497058150. The provider is registered as an organization entity type.
The provider Is Doing Business As Codac Arc.

The provider's business location address is:

2226 N AVENIDA EL CAPITAN
TUCSON, AZ
ZIP 85705-741
Phone: (520) 327-4505
Fax: (520) 202-1889

The provider's authorized official is W. Mark Clark .
The authorized official title is Ceo and has the following contact phone number (520) 327-4505.

The enumeration date for this NPI number is 12/17/2010 and was last updated on 2/1/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessBH3822ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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