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Codac Inc
Substance Use Disorder Rehabilitation Clinic/Center in Cranston, Rhode Island
NPI 1467988683

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 1467988683 and holds a License No. (Rhode Island).

The current practice location address for Codac Inc is 1052 Park Ave, Cranston, RI and can be reached out via phone at 401-275-5038 and via fax at 401-942-3590.

Location: 1052 Park Ave, Cranston, RI, 02910-3225
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467988683
Provider Name
Codac Inc
Credential
Provider Entity Type
Organization
Address
1052 Park Ave, Cranston, RI, 02910-3225
Phone Number
401-275-5038
Fax Number
401-942-3590
Provider Enumeration Date
05/08/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CI01382 05 RI
institution
Provider Business Practice Location Address Details
Address
1052 Park Ave
City
Cranston
State
Rhode Island
Zip
02910-3225
Phone Number
401-275-5038
Fax Number
401-942-3590
person
Provider Business Mailing Address Details
Address
1052 Park Ave
City
Cranston
State
Rhode Island
Zip
02910-3225
Phone Number
401-275-5038
Fax Number
401-942-3590
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
ACF01632 (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
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
ACF01632 (Rhode Island)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
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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