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

Codac Inc

Organization Peer Specialist · NPI 1851513394

Codac Inc is a Peer Specialist in Cranston, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2007.

Licensed in
RI
In the registry since
2007
Specialties on file
10
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 605.0 (RI)
Peer Specialist Taxonomy 175T00000X
Addiction Medicine (Family Medicine) Physician Taxonomy 207QA0401X · Licence 605.00 (RI)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 605.00 (RI)
Case Management Agency Taxonomy 251B00000X
Public Health or Welfare Agency Taxonomy 251K00000X · Licence 605 (RI)
Methadone Clinic Taxonomy 261QM2800X · Licence 605.00 (RI)
Primary Care Clinic/Center Taxonomy 261QP2300X · Licence ACF01632 (RI)
Substance Use Disorder Rehabilitation Hospital Unit Taxonomy 276400000X · Licence 605 (RI)
Substance Use Disorder Rehabilitation Hospital Unit Taxonomy 276400000X

Record details

NPI number1851513394
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alisha Bourdeau — Cfo · (401) 275-5038
Other names Codac Behavioral Healthcare; Codac Corporate
NPI enumeratedMay 3, 2007
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 13, 2025
Mailing address1052 Park Ave, Cranston, RI 02910-3225

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