Codac INC

NPI #1629632609 in Pawtucket, Rhode Island

Provider Information

NPI Number
1629632609
Entity Type
Organization
Organization Name
Codac INC
Primary Specialty
Clinic/Center - Methadone
Enumeration Date
Apr 25, 2019
Last Updated
Dec 21, 2021

Practice Location

Address
600 PAWTUCKET AVE
ZIP Code
02860-6059
Phone
(401) 808-6278

Authorized Official

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

Specialties & Taxonomy Codes

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

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