institution
Codac Inc
Substance Use Disorder Rehabilitation Hospital Unit in Providence, Rhode Island
NPI 1558712034

Codac Inc is a Substance Use Disorder Rehabilitation Hospital Unit based in Cranston, RI. Codac Inc practices in Providence, RI. The NPI Number for Codac Inc is 1558712034 and holds a License No. (Rhode Island).

The current practice location address for Codac Inc is 528 N Main St, Providence, RI and can be reached out via phone at 401-808-4278 and via fax at 401-808-6957. You can also correspond with Codac Inc through the mailing address at 1052 PARK AVE, CRANSTON, RI - 02910-3225 (mailing address contact number: 401-275-5039).

Location: 528 N Main St, Providence, RI, 02910-3225
institution
Provider Profile Details
NPI Number
1558712034
Provider Name
Codac Inc
Credential
Provider Entity Type
Organization
Address
528 N Main St, Providence, RI, 02910-3225
Phone Number
401-808-4278
Fax Number
401-808-6957
Provider Enumeration Date
06/27/2016
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CI01382 05 RI
institution
Provider Business Practice Location Address Details
Address
528 N Main St
City
State
Zip
02904-5757
Phone Number
401-808-4278
Fax Number
401-808-6957
person
Provider Business Mailing Address Details
Address
1052 Park Ave
City
State
Zip
02910-3225
Phone Number
401-275-5039
Fax Number
401-942-3590
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
605.07 (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
License No.
605.07 (Rhode Island)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
ACF01632 (Rhode Island)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
License No.
605.07 (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 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
605.07 (Rhode Island)
Definition
Definition to come...
person
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
605.07 (Rhode Island)
Definition
Definition to come...
person
Provider's Taxonomy Details 7
Type
Hospital Units
Classification
Rehabilitation, Substance Use Disorder Unit
Speciality
-
Taxonomy
License No.
()
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.)
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