Codac Inc
Codac Inc provides Peer Specialist services in East Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2007.
- Licensed in
- RI
- In the registry since
- 2007
- Specialties on file
- 9
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
850 Waterman Ave Codac East BayEast Providence, RI 02914
Phone: (401) 434-4999
Fax: (401) 434-6116
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Methadone Clinic (primary) | Taxonomy 261QM2800X · Licence 605.02 (RI) |
|---|---|
| Peer Specialist | Taxonomy 175T00000X |
| Addiction Medicine (Family Medicine) Physician | Taxonomy 207QA0401X · Licence ACF01632-03 (RI) |
| Public Health or Welfare Agency | Taxonomy 251K00000X · Licence 605.2 (RI) |
| Methadone Clinic | Taxonomy 261QM2800X · Licence 605.2 (RI) |
| Primary Care Clinic/Center | Taxonomy 261QP2300X · Licence ACF01632-03 (RI) |
| Substance Use Disorder Rehabilitation Clinic/Center | Taxonomy 261QR0405X · Licence 605.2 (RI) |
| Substance Use Disorder Rehabilitation Clinic/Center | Taxonomy 261QR0405X · Licence 605.02 (RI) |
| Substance Use Disorder Rehabilitation Hospital Unit | Taxonomy 276400000X · Licence 605.2 (RI) |
Record details
| NPI number | 1376769919 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alisha Bourdeau — Cfo · (401) 275-5038 |
| Other names | Codac East Bay; Codac East Bay |
| NPI enumerated | April 18, 2007 |
| Last updated in NPPES | December 21, 2021 |
| Certification date | December 21, 2021 |
| Mailing address | 1052 Park Ave, Cranston, RI 02910 |