| NPI | 1487687182 |
|---|---|
| Other Name | CODAC FIRST/METHADONE |
| Entity Type | Organization |
| Authorized Contact | DENNIS REGNIER CEO 520-327-4505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2015-10-14 |