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Codac Inc
Substance Use Disorder Rehabilitation Clinic/Center in Pawtucket, Rhode Island
NPI 1629632609

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 Pawtucket, RI. The NPI Number for Codac Inc is 1629632609 and holds a License No. (Rhode Island).

The current practice location address for Codac Inc is 600 Pawtucket Ave, Pawtucket, RI and can be reached out via phone at 401-808-6278 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: 401-275-5038).

Location: 600 Pawtucket Ave, Pawtucket, RI, 02910-3225
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629632609
Provider Name
Codac Inc
Credential
Provider Entity Type
Organization
Address
600 Pawtucket Ave, Pawtucket, RI, 02910-3225
Phone Number
401-808-6278
Fax Number
401-808-6957
Provider Enumeration Date
04/25/2019
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
600 Pawtucket Ave
City
Pawtucket
State
Rhode Island
Zip
02860-6059
Phone Number
401-808-6278
Fax Number
401-808-6957
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.
()
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.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
()
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
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation
Taxonomy
261QR0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 6
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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