Codac INC

NPI #1558712034 in Providence, Rhode Island

Provider Information

NPI Number
1558712034
Entity Type
Organization
Organization Name
Codac INC
Primary Specialty
Clinic/Center - Methadone
Enumeration Date
Jun 27, 2016
Last Updated
Apr 25, 2019

Practice Location

Address
528 N MAIN ST
ZIP Code
02904-5757
Phone
(401) 808-4278

Authorized Official

Name
ALISHA BOURDEAU, BS
Title
CFO
Phone
(401) 275-5038

Specialties & Taxonomy Codes

Specialty
Public Health or Welfare
Clinic/Center - Health ServiceHealth Service
Clinic/Center - Primary CarePrimary Care
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder
Rehabilitation, Substance Use Disorder Unit
Peer Specialist
Clinic/Center - MethadoneMethadone

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