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

Codac Inc

Organization Public Health or Welfare Agency · NPI 1992530109

Codac Inc is a Public Health or Welfare Agency in Providence, Rhode Island. Registered with an NPI since 2024.

In the registry since
2024
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

45 Royal Little Dr
Providence, RI 02904-1882
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

Methadone Clinic (primary) Taxonomy 261QM2800X
Public Health or Welfare Agency Taxonomy 251K00000X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X

Record details

NPI number1992530109
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alisha Bourdeau — Chief Financial Officer · (401) 275-5038
Other names Codac Behavioral Healthcare
NPI enumeratedSeptember 6, 2024
Last updated in NPPESSeptember 6, 2024
Certification dateSeptember 6, 2024
Mailing address1052 Park Ave, Cranston, RI 02910-3225

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