1629632609 CODAC INC
Methadone Clinic
Active
Basic Information
- Organization Name
- CODAC INC
- Enumeration Date
- April 25, 2019
- Last Update
- December 21, 2021
- Authorized Official
- ALISHA M BOURDEAU
CFO
Phone: (401) 275-5038
Practice Location
- Address
- 600 PAWTUCKET AVE
PAWTUCKET, RI 028606059 - Phone
- (401) 808-6278
- Fax
- (401) 808-6957
Mailing Address
- Address
- 1052 PARK AVE
CRANSTON, RI 029103225 - Phone
- (401) 275-5038
- Fax
- (401) 942-3590
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Peer Specialist | 175T00000X | Peer Specialist | N/A | N/A | No |
| Public Health or Welfare Agency | 251K00000X | Public Health or Welfare | N/A | N/A | No |
| Primary Care Clinic/Center Primary Care | 261QP2300X | Clinic/Center | N/A | N/A | No |
| Rehabilitation Clinic/Center Rehabilitation | 261QR0400X | Clinic/Center | N/A | N/A | No |
| Substance Use Disorder Rehabilitation Clinic/Center Rehabilitation, Substance Use Disorder | 261QR0405X | Clinic/Center | N/A | N/A | No |
| Methadone Clinic Methadone | 261QM2800X | Clinic/Center | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CO71983 | 05 | RI | N/A |
Digital Endpoints
DIRECT Use: DIRECT
abourdeau@codacinc.org
emial
Frequently Asked Questions
What is CODAC INC's NPI number?
CODAC INC's NPI number is 1629632609.
Which doctor has NPI number 1629632609?
The doctor with NPI number 1629632609 is CODAC INC.
What is CODAC INC's practice address?
CODAC INC's practice address is 600 PAWTUCKET AVE, PAWTUCKET, RI, 028606059.
Which doctor practices at 600 PAWTUCKET AVE, PAWTUCKET, RI, 028606059?
CODAC INC practices at 600 PAWTUCKET AVE, PAWTUCKET, RI, 028606059.
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) 808-6278.
Who is (401) 808-6278?
(401) 808-6278 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) 808-6278 to inquire about availability.
Is NPI 1629632609 still active?
Yes, NPI 1629632609 is currently active.
Where does CODAC INC practice?
CODAC INC practices in PAWTUCKET, RI.