1295731321 CODAC INC

Methadone Clinic

Active

Basic Information

Organization Name
CODAC INC
Enumeration Date
June 23, 2005
Last Update
December 21, 2021
Authorized Official
MS. ALISHA M BOURDEAU BS
CFO
Phone: (401) 275-5038

Practice Location

Address
1052 PARK AVE
CODAC CRANSTON
CRANSTON, RI 02910
Phone
(401) 461-5056
Fax
(401) 943-2167

Mailing Address

Address
1052 PARK AVE
CRANSTON, RI 02910
Phone
(401) 275-5038
Fax
(401) 942-3590

Specialties & Taxonomies

Specialty Code Classification License State Primary
Substance Use Disorder Rehabilitation Clinic/Center
Rehabilitation, Substance Use Disorder
261QR0405X Clinic/Center 605.01 RI No
Substance Use Disorder Rehabilitation Hospital Unit
276400000X Rehabilitation, Substance Use Disorder Unit 605.1 RI No
Primary Care Clinic/Center
Primary Care
261QP2300X Clinic/Center ACF01632-01 RI No
Substance Use Disorder Rehabilitation Clinic/Center
Rehabilitation, Substance Use Disorder
261QR0405X Clinic/Center 605.1 RI No
Peer Specialist
175T00000X Peer Specialist N/A N/A No
Addiction Medicine (Family Medicine) Physician
Addiction Medicine
207QA0401X Family Medicine ACF01632-01 RI No
Public Health or Welfare Agency
251K00000X Public Health or Welfare 605.1 RI No
Methadone Clinic
Methadone
261QM2800X Clinic/Center 605.01 RI Primary

Frequently Asked Questions

What is CODAC INC's NPI number?
CODAC INC's NPI number is 1295731321.
Which doctor has NPI number 1295731321?
The doctor with NPI number 1295731321 is CODAC INC.
What is CODAC INC's practice address?
CODAC INC's practice address is 1052 PARK AVE, CODAC CRANSTON, CRANSTON, RI, 02910.
Which doctor practices at 1052 PARK AVE, CODAC CRANSTON, CRANSTON, RI, 02910?
CODAC INC practices at 1052 PARK AVE, CODAC CRANSTON, CRANSTON, RI, 02910.
What is CODAC INC's phone number?
CODAC INC's phone number is (401) 461-5056.
Who is (401) 461-5056?
(401) 461-5056 is the phone number for CODAC INC.
What is CODAC INC's specialty?
CODAC INC's specialty is Methadone Clinic.
What type of doctor is CODAC INC?
CODAC INC is a Methadone Clinic.
Is CODAC INC a Methadone?
Yes, CODAC INC is a Methadone.
Is CODAC INC still practicing?
Yes, CODAC INC is currently practicing.
Is CODAC INC accepting new patients?
CODAC INC may be accepting new patients. Please call their office at (401) 461-5056 to inquire about availability.
Is NPI 1295731321 still active?
Yes, NPI 1295731321 is currently active.
Where does CODAC INC practice?
CODAC INC practices in CRANSTON, RI.