1851513394 CODAC INC
Substance Use Disorder Rehabilitation Clinic/Center
Active
Basic Information
- Organization Name
- CODAC INC
- Enumeration Date
- May 3, 2007
- Last Update
- January 13, 2025
- Authorized Official
- ALISHA M BOURDEAU
CFO
Phone: (401) 275-5038
Practice Location
- Address
- 1052 PARK AVE
CRANSTON, RI 029103225 - Phone
- (401) 275-5038
- Fax
- (401) 942-3590
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 |
|---|---|---|---|---|---|
| Case Management Agency | 251B00000X | Case Management | N/A | N/A | No |
| Public Health or Welfare Agency | 251K00000X | Public Health or Welfare | 605 | RI | No |
| Methadone Clinic Methadone | 261QM2800X | Clinic/Center | 605.00 | RI | No |
| Primary Care Clinic/Center Primary Care | 261QP2300X | Clinic/Center | ACF01632 | RI | No |
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | Rehabilitation, Substance Use Disorder Unit | 605 | RI | No |
| Peer Specialist | 175T00000X | Peer Specialist | N/A | N/A | No |
| Addiction Medicine (Family Medicine) Physician Addiction Medicine | 207QA0401X | Family Medicine | 605.00 | RI | No |
| Cardiovascular Disease Physician Cardiovascular Disease | 207RC0000X | Internal Medicine | 605.00 | RI | No |
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | Rehabilitation, Substance Use Disorder Unit | N/A | N/A | No |
| Substance Use Disorder Rehabilitation Clinic/Center Rehabilitation, Substance Use Disorder | 261QR0405X | Clinic/Center | 605.0 | 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 1851513394.
Which doctor has NPI number 1851513394?
The doctor with NPI number 1851513394 is CODAC INC.
What is CODAC INC's practice address?
CODAC INC's practice address is 1052 PARK AVE, CRANSTON, RI, 029103225.
Which doctor practices at 1052 PARK AVE, CRANSTON, RI, 029103225?
CODAC INC practices at 1052 PARK AVE, CRANSTON, RI, 029103225.
What is CODAC INC's phone number?
CODAC INC's phone number is (401) 275-5038.
Who is (401) 275-5038?
(401) 275-5038 is the phone number for CODAC INC.
What is CODAC INC's specialty?
CODAC INC's specialty is Substance Use Disorder Rehabilitation Clinic/Center.
What type of doctor is CODAC INC?
CODAC INC is a Substance Use Disorder Rehabilitation Clinic/Center.
Is CODAC INC a Rehabilitation, Substance Use Disorder?
Yes, CODAC INC is a Rehabilitation, Substance Use Disorder.
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) 275-5038 to inquire about availability.
Is NPI 1851513394 still active?
Yes, NPI 1851513394 is currently active.
Where does CODAC INC practice?
CODAC INC practices in CRANSTON, RI.