Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Codac Inc

Organization Peer Specialist · NPI 1295731321

Codac Inc is a Peer Specialist in Cranston, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2005.

Licensed in
RI
In the registry since
2005
Specialties on file
8
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

1052 Park Ave Codac Cranston
Cranston, RI 02910
Phone: (401) 461-5056
Fax: (401) 943-2167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Methadone Clinic (primary) Taxonomy 261QM2800X · Licence 605.01 (RI)
Peer Specialist Taxonomy 175T00000X
Addiction Medicine (Family Medicine) Physician Taxonomy 207QA0401X · Licence ACF01632-01 (RI)
Public Health or Welfare Agency Taxonomy 251K00000X · Licence 605.1 (RI)
Primary Care Clinic/Center Taxonomy 261QP2300X · Licence ACF01632-01 (RI)
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X · Licence 605.1 (RI)
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X · Licence 605.01 (RI)
Substance Use Disorder Rehabilitation Hospital Unit Taxonomy 276400000X · Licence 605.1 (RI)

Record details

NPI number1295731321
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alisha Bourdeau — Cfo · (401) 275-5038
Other names Codac Cranston; Codac Cranston
NPI enumeratedJune 23, 2005
Last updated in NPPESDecember 21, 2021
Certification dateDecember 21, 2021
Mailing address1052 Park Ave, Cranston, RI 02910

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