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CODAC AT ANDREW STREET
NPI 1750797692
Community Based Residential Treatment Facility, Mental Illness in Tucson, AZ

Active since July 10, 2014
4758 E ANDREW ST, TUCSON, AZ 85711(520) 327-4505(520) 202-1889 Get Directions Write a Review

NPPES record last updated: September 25, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Codac At Andrew Street NPPES

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

CODAC AT ANDREW STREET (NPI 1750797692) is a healthcare organization registered as a community based residential treatment facility, mental illness in Tucson, Arizona and active in the NPI registry since July 2014. The organization lists Dennis Regnier, Ceo, as its authorized official.

NPPES Registry Identity

NPI1750797692
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameCODAC HEALTH, RECOVERY & WELLNESS, INC.
Location Address4758 E ANDREW STTucson, AZ 85711-6427
Mailing Address1650 E Fort Lowell Rd, Ste 202Tucson, AZ 85719-2374 · (520) 327-4505 · Fax (520) 202-1889
Phone(520) 327-4505
Fax(520) 202-1889
Organization SubpartNo
Authorized OfficialDennis RegnierCeo · (520) 327-4505
Enumeration DateJuly 10, 2014
Last NPPES UpdateSeptember 25, 2015
✔ NPI 1750797692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
4758 E ANDREW ST, Tucson, AZ 85711
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Other Names 1

Doing Business AsCodac At Andrew Street

Other Identifiers 1

Medicaid040601AZ

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 Health, Recovery & Wellness, Inc.'s NPI number?

The NPI number for Codac Health, Recovery & Wellness, Inc. is 1750797692. It was assigned to this organization in the NPPES registry on July 10, 2014. The provider is doing business as Codac At Andrew Street.

Where is Codac Health, Recovery & Wellness, Inc. located?

Codac Health, Recovery & Wellness, Inc. is located at 4758 E Andrew St, Tucson, AZ 85711. The listed phone number is (520) 327-4505.

What is Codac Health, Recovery & Wellness, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Codac Health, Recovery & Wellness, Inc. was last updated on September 25, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.