Codac INC
NPI #1376769919 in East Providence, Rhode Island
Provider Information
- NPI Number
- 1376769919
- Entity Type
- Organization
- Organization Name
- Codac INC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Apr 18, 2007
- Last Updated
- Dec 21, 2021
Practice Location
- Address
- 850 WATERMAN AVE
- Address 2
- CODAC EAST BAY
- City
- East Providence
- State
- Rhode Island
- ZIP Code
- 02914
- Phone
- (401) 434-4999
Authorized Official
- Name
- MS. ALISHA M BOURDEAU, BS
- Title
- CFO
- Phone
- (401) 275-5038
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
| Peer Specialist |
| Family Medicine - Addiction Medicine — Addiction Medicine |
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
| Public Health or Welfare |
| Clinic/Center - Methadone — Methadone |
| Rehabilitation, Substance Use Disorder Unit |
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