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

Codac Inc

Organization Peer Specialist · NPI 1467988683

Codac Inc provides Peer Specialist services in Cranston, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2017.

Licensed in
RI
In the registry since
2017
Specialties on file
3
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
Cranston, RI 02910-3225
Phone: (401) 275-5038
Fax: (401) 942-3590
Show map & directions

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

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X · Licence ACF01632 (RI)
Peer Specialist Taxonomy 175T00000X
Primary Care Clinic/Center Taxonomy 261QP2300X · Licence ACF01632 (RI)

Record details

NPI number1467988683
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alisha Bourdeau — Cfo · (401) 275-5038
NPI enumeratedMay 8, 2017
Last updated in NPPESDecember 21, 2021
Certification dateDecember 21, 2021
Mailing address1052 Park Ave, Cranston, RI 02910-3225

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