| NPI | 1174862007 |
|---|---|
| Doing Business As | CODAC AT ALVERNON |
| Entity Type | Organization |
| Authorized Contact | DENNIS REGNIER CEO 520-327-4505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2015-09-25 |