Codac Inc - Providence, RI

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.

Location: 528 N Main St, Providence, RI, 02910-3225

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

Identifier	Type	State	Issuer
CI01382	05	RI

Address

528 N Main St

City

Providence

State

Rhode Island

Zip

02904-5757

Phone Number

401-808-4278

Fax Number

401-808-6957

Address

528 N Main St

City

Providence

State

Rhode Island

Zip

02904-5757

Phone Number

401-808-4278

Fax Number

401-808-6957

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

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.

Type

Agencies

Classification

Public Health or Welfare

Speciality

Taxonomy

251K00000X

License No.

605.07 (Rhode Island)

Definition

Definition to come...

Type

Ambulatory Health Care Facilities

Classification

Clinic/Center

Speciality

Health Service

Taxonomy

261QH0100X

License No.

ACF01632 (Rhode Island)

Definition

Definition to come...

Type

Ambulatory Health Care Facilities

Classification

Clinic/Center

Speciality

Methadone

Taxonomy

261QM2800X

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.

Type

Ambulatory Health Care Facilities

Classification

Clinic/Center

Speciality

Primary Care

Taxonomy

261QP2300X

License No.

605.07 (Rhode Island)

Definition

Definition to come...

Type

Ambulatory Health Care Facilities

Classification

Clinic/Center

Speciality

Rehabilitation, Substance Use Disorder

Taxonomy

261QR0405X

License No.

605.07 (Rhode Island)

Definition

Definition to come...

Type

Hospital Units

Classification

Rehabilitation, Substance Use Disorder Unit

Speciality

Taxonomy

276400000X

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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