OrganizationActive
Codac Inc
NPI 1467988683 · Substance Use Disorder Rehabilitation Clinic/Center · Cranston, RI
Provider details
- NPI number
- 1467988683
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Alisha Bourdeau, Cfo(401) 275-5038
Specialties & taxonomies
Ambulatory Health Care Facilities
- Peer Specialist175T00000X
Other Service Providers
Ambulatory Health Care Facilities
Practice location
1052 Park Ave
Cranston, RI 02910-3225
Phone: (401) 275-5038
Fax: (401) 942-3590
Approximate (ZIP-level) locationGet directions
Mailing address
1052 Park Ave
Cranston, RI 02910-3225
Registry dates
- Enumerated
- 2017-05-08
- Last updated
- 2021-12-21
- Certified
- 2021-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.