| Codac Safety Zone | |
|
3550 N 1st Ave Suite 100 Tucson AZ 85719-1770 | |
| (520) 327-4505 | |
| (520) 202-1889 |
| Full Name | Codac Safety Zone |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3550 N 1st Ave, Tucson, Arizona |
| Authorized Official Name and Position | W. Mark Clark (CEO) |
| Authorized Official Contact | 5203274505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Codac Safety Zone 127 S 5th Ave Tucson AZ 85701-2005 Ph: (520) 327-4505 | Codac Safety Zone 3550 N 1st Ave Suite 100 Tucson AZ 85719-1770 Ph: (520) 327-4505 |
| NPI Number | 1114127602 |
|---|---|
| Provider Enumeration Date | 07/23/2007 |
| Last Update Date | 07/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114127602 | NPI | - | NPPES |
| 128640 | Other | AZ | AHCCCS ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CSA06ADHS0194 2 (Arizona) | Primary |
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