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CODAC 4TH AVENUE
NPI 1033319751
Clinic/Center - Adult Mental Health in Tucson, AZ

Active since July 20, 2007
721 N 4TH AVE, TUCSON, AZ 85705(520) 327-4505(520) 202-1889 Get Directions Write a Review

NPPES record last updated: February 15, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Codac 4th Avenue NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CODAC 4TH AVENUE (NPI 1033319751) is a healthcare organization registered as an adult mental health in Tucson, Arizona and active in the NPI registry since July 2007. The organization lists W Mark Clark, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033319751
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameCODAC BEHAVIORAL HEALTH SERVICES OF PIMA COUNTY, INC.
Location Address721 N 4TH AVETucson, AZ 85705-8446
Mailing Address127 S 5th AveTucson, AZ 85701-2005 · (520) 327-4505 · Fax (520) 202-1889
Phone(520) 327-4505
Fax(520) 202-1889
Organization SubpartNo
Authorized OfficialW Mark ClarkCeo · (520) 327-4505
Enumeration DateJuly 20, 2007
Last NPPES UpdateFebruary 15, 2008
✔ NPI 1033319751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
721 N 4TH AVE, Tucson, AZ 85705
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Other Names 1

Other NameCodac 4th Avenue

Other Identifiers 3

Medicaid255732AZ
Medicare PINZ79167AZ
OtherBH-2954AZ · Adhs

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Codac Behavioral Health Services Of Pima County, Inc.'s NPI number?

The NPI number for Codac Behavioral Health Services Of Pima County, Inc. is 1033319751. It was assigned to this organization in the NPPES registry on July 20, 2007. The provider is also known as Codac 4th Avenue.

Where is Codac Behavioral Health Services Of Pima County, Inc. located?

Codac Behavioral Health Services Of Pima County, Inc. is located at 721 N 4th Ave, Tucson, AZ 85705. The listed phone number is (520) 327-4505.

What is Codac Behavioral Health Services Of Pima County, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Codac Behavioral Health Services Of Pima County, Inc. was last updated on February 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.