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Codac Inc
Substance Use Disorder Rehabilitation Clinic/Center in Cranston, Rhode Island
NPI 1164923553

Codac Inc is a Substance Use Disorder Rehabilitation Clinic/Center based in Cranston, RI and is specialized in Rehabilitation, Substance Use Disorder. Codac Inc practices in Cranston, RI. The NPI Number for Codac Inc is 1164923553 and holds a License No. (Rhode Island).

The current practice location address for Codac Inc is 3 Regan Ct, Cranston, RI and can be reached out via phone at 401-462-3530 and via fax at 401-462-3529.

Location: 3 Regan Ct, Cranston, RI, 02910-3225
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164923553
Provider Name
Codac Inc
Credential
Provider Entity Type
Organization
Address
3 Regan Ct, Cranston, RI, 02910-3225
Phone Number
401-462-3530
Fax Number
401-462-3529
Provider Enumeration Date
02/22/2018
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CO71983 05 RI
institution
Provider Business Practice Location Address Details
Address
3 Regan Ct
City
Cranston
State
Rhode Island
Zip
02920
Phone Number
401-462-3530
Fax Number
401-462-3529
person
Provider Business Mailing Address Details
Address
3 Regan Ct
City
Cranston
State
Rhode Island
Zip
02920
Phone Number
401-462-3530
Fax Number
401-462-3529
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
605.08 (Rhode Island)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
251K00000X
License No.
605.08 (Rhode Island)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
605.08 (Rhode Island)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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