| Codac Medication Assisted Addiction Treatment | |
|
380 E Fort Lowell Rd Tucson AZ 85705-3985 | |
| (520) 202-1796 | |
| (520) 792-4977 |
| Full Name | Codac Medication Assisted Addiction Treatment |
|---|---|
| Speciality | Clinic/Center |
| Location | 380 E Fort Lowell Rd, Tucson, Arizona |
| Authorized Official Name and Position | Nora Navarro-hernandez (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 5203274505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Codac Medication Assisted Addiction Treatment 1650 E Fort Lowell Rd Ste 202 Tucson AZ 85719-2378 Ph: (520) 327-4505 | Codac Medication Assisted Addiction Treatment 380 E Fort Lowell Rd Tucson AZ 85705-3985 Ph: (520) 202-1796 |
| NPI Number | 1992224455 |
|---|---|
| Provider Enumeration Date | 09/15/2017 |
| Last Update Date | 09/15/2017 |
| Medicare PECOS PAC ID | 6103813811 |
|---|---|
| Medicare Enrollment ID | O20200114000939 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992224455 | NPI | - | NPPES |
| 000000 | Medicaid | AZ |
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