| NPI | 1992224455 |
|---|---|
| Doing Business As | CODAC MEDICATION ASSISTED ADDICTION TREATMENT |
| Entity Type | Organization |
| Authorized Contact | NORA NAVARRO-HERNANDEZ Senior Vice President 520-327-4505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2017-09-15 |