Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Codac Inc

Organization Peer Specialist · NPI 1164923553

Codac Inc provides Peer Specialist services in Cranston, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2018.

Licensed in
RI
In the registry since
2018
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3 Regan Ct
Cranston, RI 02920
Phone: (401) 462-3530
Fax: (401) 462-3529
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Public Health or Welfare Agency (primary) Taxonomy 251K00000X · Licence 605.08 (RI)
Peer Specialist Taxonomy 175T00000X
Methadone Clinic Taxonomy 261QM2800X · Licence 605.08 (RI)
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X · Licence 605.08 (RI)

Record details

NPI number1164923553
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alisha Bourdeau — Cfo · (401) 275-5038
NPI enumeratedFebruary 22, 2018
Last updated in NPPESApril 25, 2019
Mailing address1052 Park Ave, Cranston, RI 02910-3225

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