Codac INC

NPI #1679799217 in Saunderstown, Rhode Island

Provider Information

NPI Number: 1679799217
Entity Type: Organization
Organization Name: Codac INC
Primary Specialty: Peer Specialist
Enumeration Date: Apr 18, 2007
Last Updated: Dec 21, 2021

Practice Location

Address: 3045 TOWER HILL RD
City: Saunderstown
State: Rhode Island
ZIP Code: 02874-1501
Phone: (401) 789-0934

Authorized Official

Name: MS. ALISHA M BOURDEAU, BS
Title: CFO
Phone: (401) 275-5038

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary
Family Medicine - Addiction Medicine — Addiction Medicine	207QA0401X
Public Health or Welfare	251K00000X
Clinic/Center - Methadone — Methadone	261QM2800X
Clinic/Center - Primary Care — Primary Care	261QP2300X
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X
Rehabilitation, Substance Use Disorder Unit	276400000X

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