| NPI | 1255658753 |
|---|---|
| Other Name | CODAC DOWNTOWN |
| Entity Type | Organization |
| Authorized Contact | DENNIS REGNIER CEO 520-327-4505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: AZ BH-3579) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2015-09-25 |