Codac Inc
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.
Practice location Address checks out
1052 Park AveCranston, RI 02910-3225
Phone: (401) 275-5038
Fax: (401) 942-3590
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
| 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 number | 1851513394 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alisha Bourdeau — Cfo · (401) 275-5038 |
| Other names | Codac Behavioral Healthcare; Codac Corporate |
| NPI enumerated | May 3, 2007 |
| Last updated in NPPES | January 13, 2025 |
| Certification date | January 13, 2025 |
| Mailing address | 1052 Park Ave, Cranston, RI 02910-3225 |
Other providers in Cranston
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Chancecommunitycareri
40 Perkins Ave, Cranston, RI 02910-3912 · (401) 255-9869
-
Codac Inc
3 Regan Ct, Cranston, RI 02920 · (401) 462-3530
-
Codac Inc
1052 Park Ave Codac Cranston, Cranston, RI 02910 · (401) 461-5056
-
Codac Inc
1052 Park Ave, Cranston, RI 02910-3225 · (401) 275-5038
-
Robyn Ann Frye, CPRS
1540 Pontiac Ave, Cranston, RI 02920-4472 · (401) 781-7000