NPI | 1114127602 |
---|---|
Doing Business As | CODAC SAFETY ZONE |
Entity Type | Organization |
Authorized Contact | W. MARK CLARK CEO 520-327-4505 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ CSA06ADHS0194 2) |
Enumeration Date | 2007-07-23 |
Last Update Date | 2007-07-23 |