NPI 1164923553

Codac INC

Organisation Public Health or Welfare Agency Cranston, RI

Practice location

Address: 3 Regan CT, Cranston, RI 02920
Phone: (401) 462-3530
Fax: (401) 462-3529
Mailing address: 1052 Park Ave, Cranston, RI 02910-3225

Authorised official

Name: Alisha M Bourdeau
Title: Cfo
Phone: (401) 275-5038

Registered specialties (4)

Public Health or Welfare Agency Primary

Agencies Taxonomy 251K00000X Licence 605.08 (RI)

Other Public Health or Welfare providers in Rhode Island →

Peer Specialist

Other Service Providers Taxonomy 175T00000X

Other Peer Specialist providers in Rhode Island →

Methadone Clinic

Ambulatory Health Care Facilities Taxonomy 261QM2800X Licence 605.08 (RI)

Other Clinic/Center providers in Rhode Island →

Substance Use Disorder Rehabilitation Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QR0405X Licence 605.08 (RI)

Registry record

NPI: 1164923553
Entity type: Organization
NPI issued: 22 Feb 2018
Record last updated: 25 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.