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 |