| NPI | 1356374953 |
|---|---|
| Other Name | CODAC WEST |
| Entity Type | Organization |
| Authorized Contact | W. MARK CLARK CEO 520-327-4505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: AZ BH-2016) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2008-02-15 |