| NPI | 1497058150 |
|---|---|
| Doing Business As | CODAC ARC |
| Entity Type | Organization |
| Authorized Contact | W. MARK CLARK CEO 520-327-4505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH3822) |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2011-02-01 |