Codac Inc
Clinic/Center - Methadone • Cranston, RI
About Codac Inc NPI 1295731321 Summary
Codac Inc is a verified healthcare organization specializing in Clinic/Center - Methadone operating in Cranston, RI. Located at 1052 PARK AVE, CODAC CRANSTON, this facility provides patient care and medical services under National Provider Identifier (NPI) 1295731321.
Administrative operations and authorized compliance are overseen by Alisha Bourdeau (Cfo).
The facility is associated with 20 linked healthcare practitioners providing clinical services.
Facility Location & Contact Primary Location
1052 Park Ave
Codac Cranston
Cranston, RI 02910
Authorized Official Information
MS. Alisha Bourdeau , BS
Cfo
4012755038
Facility Classifications & Specialties
NUCC Taxonomy Code: 261QM2800X
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
NUCC Taxonomy Code: 207QA0401X
A family medicine physician who specializes in the diagnosis and treatment of addictions.
NUCC Taxonomy Code: 251K00000X
Definition to come...
NUCC Taxonomy Code: 261QP2300X
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NUCC Taxonomy Code: 261QR0405X
Definition to come...
NUCC Taxonomy Code: 261QR0405X
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NUCC Taxonomy Code: 175T00000X
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
NUCC Taxonomy Code: 276400000X
A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)
Affiliated Practitioners & Clinicians
Healthcare professionals and specialists practicing at this facility or affiliated group locations
Counselor - Addiction (Substance Use Disorder)
Cranston, RI
Counselor - Addiction (Substance Use Disorder)
Cranston, RI
Facility & Registry History Timeline
Chronological log of verified NPI organization updates, branch relocations, and registry updates
Family Medicine (License #ACF01632-01 in RI)
Clinic/Center (License #605.01 in RI)
NPI status registered as active in NPPES database
Registered at 1052 PARK AVE, CODAC CRANSTON, CRANSTON, RI 02910 (Tel: 4014615056)
Registered at 1052 PARK AVE, CRANSTON, RI 02910 (Tel: 4012755038)
Operating as CODAC INC
Family Medicine (License #ACF01632-01 in RI)
Registered at 1052 PARK AVE, CODAC CRANSTON, CRANSTON, RI 02910 (Tel: 4014615056)
Registered at 1052 PARK AVE, CRANSTON, RI 02910 (Tel: 4012755038)
Operating as CODAC INC
NPI status registered as active in NPPES database
Registered at 1052 PARK AVE, CRANSTON, RI 029103225 (Tel: 4014615056)
Registered at 1052 PARK AVE, CRANSTON, RI 029103225 (Tel: 4014615056)
Operating as CODAC INC.
Clinic/Center (License #605.1 in RI)
First registered as active Healthcare Organization in NPPES Database.
Patient & Community Reviews
Verified patient ratings, healthcare experiences, and facility photos
NPI Organization Metadata
Mailing Address
1052 Park Ave
Cranston, RI 02910
Phone: 4012755038
Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.