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 1558712034

Codac Inc provides Peer Specialist services in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2016.

Licensed in
RI
In the registry since
2016
Specialties on file
7
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

528 N Main St
Providence, RI 02904-5757
Phone: (401) 808-4278
Fax: (401) 808-6957
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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 605.07 (RI)
Peer Specialist Taxonomy 175T00000X
Public Health or Welfare Agency Taxonomy 251K00000X · Licence 605.07 (RI)
Health Service Clinic/Center Taxonomy 261QH0100X · Licence 605.07 (RI)
Primary Care Clinic/Center Taxonomy 261QP2300X · Licence ACF01632 (RI)
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X · Licence 605.07 (RI)
Substance Use Disorder Rehabilitation Hospital Unit Taxonomy 276400000X · Licence 605.07 (RI)

Record details

NPI number1558712034
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alisha Bourdeau — Cfo · (401) 275-5038
Other names Codac North Main; Codac North Main
NPI enumeratedJune 27, 2016
Last updated in NPPESApril 25, 2019
Mailing address1052 Park Ave, Cranston, RI 02910-3225

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