Codac INC
NPI #1992530109 in Providence, Rhode Island
Provider Information
- NPI Number
- 1992530109
- Entity Type
- Organization
- Organization Name
- Codac INC
- Primary Specialty
- Clinic/Center - Methadone
- Enumeration Date
- Sep 6, 2024
- Last Updated
- Sep 6, 2024
Practice Location
- Address
- 45 ROYAL LITTLE DR
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02904-1882
- Phone
- (401) 275-5038
Authorized Official
- Name
- MS. ALISHA M BOURDEAU
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (401) 275-5038
Specialties & Taxonomy Codes
| Specialty |
|---|
| Public Health or Welfare |
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
| Clinic/Center - Methadone — Methadone |
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