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

Codac Inc

Organization Peer Specialist · NPI 1295731321

Codac Inc provides Peer Specialist services 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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