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

Codac Inc

Organization Peer Specialist · NPI 1467988683

Codac Inc is a Peer Specialist 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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