1558712034 CODAC INC
Methadone Clinic
Active
Basic Information
- Organization Name
- CODAC INC
- Enumeration Date
- June 27, 2016
- Last Update
- April 25, 2019
- Authorized Official
- ALISHA BOURDEAU BS
CFO
Phone: (401) 275-5038
Practice Location
- Address
- 528 N MAIN ST
PROVIDENCE, RI 029045757 - Phone
- (401) 808-4278
- Fax
- (401) 808-6957
Mailing Address
- Address
- 1052 PARK AVE
CRANSTON, RI 029103225 - Phone
- (401) 275-5039
- Fax
- (401) 942-3590
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Public Health or Welfare | 605.07 | RI | No |
| Health Service Clinic/Center Health Service | 261QH0100X | Clinic/Center | 605.07 | RI | No |
| Primary Care Clinic/Center Primary Care | 261QP2300X | Clinic/Center | ACF01632 | RI | No |
| Substance Use Disorder Rehabilitation Clinic/Center Rehabilitation, Substance Use Disorder | 261QR0405X | Clinic/Center | 605.07 | RI | No |
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | Rehabilitation, Substance Use Disorder Unit | 605.07 | RI | No |
| Peer Specialist | 175T00000X | Peer Specialist | N/A | N/A | No |
| Methadone Clinic Methadone | 261QM2800X | Clinic/Center | 605.07 | RI | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CI01382 | 05 | RI | N/A |
Frequently Asked Questions
What is CODAC INC's NPI number?
CODAC INC's NPI number is 1558712034.
Which doctor has NPI number 1558712034?
The doctor with NPI number 1558712034 is CODAC INC.
What is CODAC INC's practice address?
CODAC INC's practice address is 528 N MAIN ST, PROVIDENCE, RI, 029045757.
Which doctor practices at 528 N MAIN ST, PROVIDENCE, RI, 029045757?
CODAC INC practices at 528 N MAIN ST, PROVIDENCE, RI, 029045757.
What is CODAC INC's mailing address?
CODAC INC's mailing address is 1052 PARK AVE, CRANSTON, RI, 029103225.
What is CODAC INC's phone number?
CODAC INC's phone number is (401) 808-4278.
Who is (401) 808-4278?
(401) 808-4278 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) 808-4278 to inquire about availability.
Is NPI 1558712034 still active?
Yes, NPI 1558712034 is currently active.
Where does CODAC INC practice?
CODAC INC practices in PROVIDENCE, RI.