Codac Safety Zone

LBN: Codac Behavioral Health Services, Inc.
Codac Safety Zone is an health care organization with primary practice located at 3550 N 1St Ave Suite 100, Tucson AZ 85719-1770. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Codac Behavioral Health Services, Inc. can be contacted via phone (520) 327-4505, or through Clark, W. Mark via phone (520) 327-4505.

Contact Information

Primary practice address
3550 N 1St Ave Suite 100 Tucson AZ 85719-1770
Phone: (520) 327-4505
Fax: (520) 202-1889
Website:
Map and Directions
Authorized official contact:
Name: Clark, W. Mark
Phone: (520) 327-4505

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X CSA06ADHS0194 2 Arizona

Profile Details

NPI number 1114127602
LBN Legal business name Codac Behavioral Health Services, Inc.
DBA Doing business as Codac Safety Zone
Authorized official Clark, W. Mark
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2007
Last updated Jul 23rd, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114127602 NPPES
Arizona Other 128640 AHCCCS ID

Popular Providers