CODAC BEHAVIORAL HEALTH SERVICES INC. NPI 1841416898

NPI Information

NPI: 1841416898
Provider Name: CODAC BEHAVIORAL HEALTH SERVICES, INC.
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
3550 N 1ST AVE
SUITE 125
TUCSON, AZ
ZIP 85719
Phone: (520) 327-4505
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CODAC BEHAVIORAL HEALTH SERVICES, INC. is an adult mental health clinic center in Tucson, AZ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. CODAC BEHAVIORAL HEALTH SERVICES, INC. NPI is 1841416898. The provider is registered as an organization entity type.

The provider's business location address is:

3550 N 1ST AVE
SUITE 125
TUCSON, AZ
ZIP 85719-770
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 4/18/2007 and was last updated on 7/23/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	BH-2543	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	71967	MEDICARE ID-TYPE UNSPECIFIED	ARIZONA	MEDICARE ID NUMBER

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

NPI Synchronization or Removal

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