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Contact Information

CODAC HEALTH RECOVERY AND WELLNESS
4585 E SPEEDWAY BLVD
TUCSON, AZ85712
 Phone: 520-327-4505
 Fax: 520-202-1889
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for CODAC HEALTH RECOVERY AND WELLNESS

NPI # 1033156567
LBN Legal business name CODAC HEALTH RECOVERY AND WELLNESS
Authorized official DENNIS REGNIER - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/01/2006
Last updated 04/22/2025 - More than a year ago
Identifiers
AZ Medicaid 214427
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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