| Codac Mcas | |
|
502 N Silverbell Rd Tucson AZ 85745-2626 | |
| (520) 327-4505 | |
| (520) 202-1889 |
| Full Name | Codac Mcas |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 502 N Silverbell Rd, 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 Mcas 1650 E Fort Lowell Rd Ste 202 Tucson AZ 85719-2374 Ph: (520) 327-4505 | Codac Mcas 502 N Silverbell Rd Tucson AZ 85745-2626 Ph: (520) 327-4505 |
| NPI Number | 1427393016 |
|---|---|
| Provider Enumeration Date | 12/07/2012 |
| Last Update Date | 09/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427393016 | NPI | - | NPPES |
| 806687 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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