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KOFFI DZAKA
NPI 1326867987
Community Based Residential Treatment Facility, Mental Illness in Tucson, AZ

Active since October 09, 2024
6692 S STONE FLY DR, TUCSON, AZ 85757(520) 251-4186 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 3, 2024, Oct 9, 2024 (2 updates tracked since 2024).

About Koffi Dzaka NPPES

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

KOFFI DZAKA (NPI 1326867987) is an individual community based residential treatment facility, mental illness provider in Tucson, Arizona, licensed in Arizona (BH10286) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1326867987
Entity TypeIndividualMale
Primary Taxonomy320800000X
Provider Legal NameKOFFI DZAKA
Location Address6692 S STONE FLY DRTucson, AZ 85757-1607
Mailing Address4000 N Central Ave Ste 100Phoenix, AZ 85012-3520 · (602) 859-7794
Phone(520) 251-4186
Sole ProprietorYes
Enumeration DateOctober 9, 2024
Last NPPES UpdateDecember 3, 20242 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
✔ NPI 1326867987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in AZ · BH10286
Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Also ListedRespite CareTaxonomy 385H00000X · License BH10286 (AZ)
6692 S STONE FLY DR, Tucson, AZ 85757
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

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 Koffi Dzaka's NPI number?

The NPI number for Koffi Dzaka is 1326867987. It was assigned to this individual provider in the NPPES registry on October 9, 2024.

Where is Koffi Dzaka located?

Koffi Dzaka practices at 6692 S Stone Fly Dr, Tucson, AZ 85757. The listed phone number is (520) 251-4186.

What is Koffi Dzaka's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

What insurance does Koffi Dzaka accept?

Health plans from Blue Cross Blue Shield of Arizona list Koffi Dzaka as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Koffi Dzaka was last updated on December 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.