Codac Inc is a Peer Specialist based in Cranston, RI. Codac Inc practices in Cranston, RI. The NPI Number for Codac Inc is 1295731321 and holds a License No. ACF01632-01 (Rhode Island).
The current practice location address for Codac Inc is 1052 Park Ave, Cranston, RI and can be reached out via phone at 401-461-5056 and via fax at 401-943-2167. You can also correspond with Codac Inc through the mailing address at 1052 PARK AVE, CRANSTON, RI - 02910 (mailing address contact number: 401-275-5038).
Location: 1052 Park Ave, Cranston, RI, 02910
Provider Profile Details
NPI Number
1295731321
Provider Name
Codac Inc
Credential
Provider Entity Type
Organization
Address
1052 Park Ave, Cranston, RI, 02910
Phone Number
401-461-5056
Fax Number
401-943-2167
Provider Enumeration Date
06/23/2005
Last Update Date
12/21/2021
Provider Business Practice Location Address Details
Address
1052 Park Ave
City
State
Zip
02910
Phone Number
401-461-5056
Fax Number
401-943-2167
Provider Business Mailing Address Details
Address
1052 Park Ave
City
State
Zip
02910
Phone Number
401-275-5038
Fax Number
401-942-3590
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
605.1 (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.
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
License No.
605.01 (Rhode Island)
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Provider's Taxonomy Details 3
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
License No.
605.1 (Rhode Island)
Definition
Definition to come...
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
License No.
ACF01632-01 (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.
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
605.01 (Rhode Island)
Definition
Definition to come...
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
605.1 (Rhode Island)
Definition
Definition to come...
Provider's Taxonomy Details 7
Type
Hospital Units
Classification
Rehabilitation, Substance Use Disorder Unit
Speciality
-
Taxonomy
License No.
ACF01632-01 (Rhode Island)
Definition
A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)