| Codac Downtown | |
|
127 S 5th Ave Tucson AZ 85701-2005 | |
| (520) 327-4505 | |
| (520) 202-1889 |
| Full Name | Codac Downtown |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 127 S 5th Ave, Tucson, Arizona |
| Authorized Official Name and Position | Dennis Regnier (CEO) |
| Authorized Official Contact | 5203274505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Codac Downtown 1650 E Fort Lowell Rd Ste 202 Tucson AZ 85719-2374 Ph: (520) 327-4505 | Codac Downtown 127 S 5th Ave Tucson AZ 85701-2005 Ph: (520) 327-4505 |
| NPI Number | 1255658753 |
|---|---|
| Provider Enumeration Date | 04/23/2010 |
| Last Update Date | 09/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255658753 | NPI | - | NPPES |
| 521279 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | BH-3579 (Arizona) | Primary |
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Perception Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1213 E Warehouse Avenue, Tucson, AZ 85719 Phone: 520-623-7077 | |
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