Codac Inc
Codac Inc is a Peer Specialist in Pawtucket, Rhode Island. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 6
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
600 Pawtucket AvePawtucket, RI 02860-6059
Phone: (401) 808-6278
Fax: (401) 808-6957
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 |
|---|---|
| Peer Specialist | Taxonomy 175T00000X |
| Public Health or Welfare Agency | Taxonomy 251K00000X |
| Primary Care Clinic/Center | Taxonomy 261QP2300X |
| Rehabilitation Clinic/Center | Taxonomy 261QR0400X |
| Substance Use Disorder Rehabilitation Clinic/Center | Taxonomy 261QR0405X |
Record details
| NPI number | 1629632609 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alisha Bourdeau — Cfo · (401) 275-5038 |
| Other names | Codac Pawtucket Ave |
| NPI enumerated | April 25, 2019 |
| Last updated in NPPES | December 21, 2021 |
| Certification date | December 21, 2021 |
| Mailing address | 1052 Park Ave, Cranston, RI 02910-3225 |
Other providers in Pawtucket
-
Koren Carbuccia
25 Maple St, Pawtucket, RI 02860-2104 · (401) 290-8076
-
Mayra Curran
39 E Ave, Pawtucket, RI 02860-4003 · (401) 722-0081