1376769919 CODAC INC
Methadone Clinic
Active
Basic Information
- Organization Name
- CODAC INC
- Enumeration Date
- April 18, 2007
- Last Update
- December 21, 2021
- Authorized Official
- MS. ALISHA M BOURDEAU BS
CFO
Phone: (401) 275-5038
Practice Location
- Address
- 850 WATERMAN AVE
CODAC EAST BAY
EAST PROVIDENCE, RI 02914 - Phone
- (401) 434-4999
- Fax
- (401) 434-6116
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 |
|---|---|---|---|---|---|
| Primary Care Clinic/Center Primary Care | 261QP2300X | Clinic/Center | ACF01632-03 | RI | No |
| Peer Specialist | 175T00000X | Peer Specialist | N/A | N/A | No |
| Addiction Medicine (Family Medicine) Physician Addiction Medicine | 207QA0401X | Family Medicine | ACF01632-03 | RI | No |
| Substance Use Disorder Rehabilitation Clinic/Center Rehabilitation, Substance Use Disorder | 261QR0405X | Clinic/Center | 605.2 | RI | No |
| Public Health or Welfare Agency | 251K00000X | Public Health or Welfare | 605.2 | RI | No |
| Methadone Clinic Methadone | 261QM2800X | Clinic/Center | 605.2 | RI | No |
| Substance Use Disorder Rehabilitation Clinic/Center Rehabilitation, Substance Use Disorder | 261QR0405X | Clinic/Center | 605.02 | RI | No |
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | Rehabilitation, Substance Use Disorder Unit | 605.2 | RI | No |
| Methadone Clinic Methadone | 261QM2800X | Clinic/Center | 605.02 | RI | Primary |
Frequently Asked Questions
What is CODAC INC's NPI number?
CODAC INC's NPI number is 1376769919.
Which doctor has NPI number 1376769919?
The doctor with NPI number 1376769919 is CODAC INC.
What is CODAC INC's practice address?
CODAC INC's practice address is 850 WATERMAN AVE, CODAC EAST BAY, EAST PROVIDENCE, RI, 02914.
Which doctor practices at 850 WATERMAN AVE, CODAC EAST BAY, EAST PROVIDENCE, RI, 02914?
CODAC INC practices at 850 WATERMAN AVE, CODAC EAST BAY, EAST PROVIDENCE, RI, 02914.
What is CODAC INC's mailing address?
CODAC INC's mailing address is 1052 PARK AVE, CRANSTON, RI, 02910.
What is CODAC INC's phone number?
CODAC INC's phone number is (401) 434-4999.
Who is (401) 434-4999?
(401) 434-4999 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) 434-4999 to inquire about availability.
Is NPI 1376769919 still active?
Yes, NPI 1376769919 is currently active.
Where does CODAC INC practice?
CODAC INC practices in EAST PROVIDENCE, RI.