| NPI | 1427393016 |
|---|---|
| Doing Business As | CODAC MCAS |
| Entity Type | Organization |
| Authorized Contact | DENNIS REGNIER CEO 520-327-4505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2015-09-25 |