Active NPIOrganization

Codac INC

Clinic/Center, Rehabilitation, Substance Use Disorder in Cranston, Rhode Island

NPI Number1851513394
Practice location
1052 Park Ave, Cranston, RI 02910-3225
Fax
401-942-3590
Last updated
September 16, 2026

Codac INC is a healthcare organization based in Cranston, RI. Codac INC practices in Cranston, RI. The NPI Number for Codac INC is 1851513394 and holds a License No. 605.00 (RI). The current practice location address for Codac INC is 1052 Park Ave, Cranston, RI 02910-3225 and can be reached out via phone at 401-275-5038 and via fax at 401-942-3590.

Provider Profile Details

NPI Number
1851513394
Provider Name
Codac INC
Provider Entity Type
Organization
Address
1052 Park Ave, Cranston, RI 02910-3225
Phone Number
401-275-5038
Fax Number
401-942-3590
Organization Subpart
No
Authorized Official
Alisha M Bourdeau · Cfo · 401-275-5038
Other Names
Codac Behavioral Healthcare (Doing Business As)
Codac Corporate (Other Name)
Provider Enumeration Date
May 3, 2007
Last Update Date
September 16, 2026
Certification Date
September 16, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1052 Park Ave
Cranston, RI 02910-3225
Zip
02910-3225
Phone Number
401-275-5038
Fax Number
401-942-3590
Cranston, RI 02910Get directions →

Provider Business Mailing Address Details

Address
1052 Park Ave
Cranston, RI 02910-3225
City
Cranston
State
RI
Zip
02910-3225
Phone Number
401-275-5038
Fax Number
401-942-3590

License Information

Taxonomy (1)
Peer Specialist · 175T00000X
License Number (2)
605.00
License State (2)
RI
Taxonomy (2)
Family Medicine, Addiction Medicine · 207QA0401X
License Number (3)
605.00
License State (3)
RI
Taxonomy (4)
Case Management · 251B00000X
License Number (5)
605
License State (5)
RI
Taxonomy (5)
Public Health or Welfare · 251K00000X
License Number (6)
605.00
License State (6)
RI
Taxonomy (6)
Clinic/Center, Methadone Clinic · 261QM2800X
License Number (7)
ACF01632
License State (7)
RI
Taxonomy (7)
Clinic/Center, Primary Care · 261QP2300X
License Number (8)
605.0
License State (8)
RI
Taxonomy (8)
Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X · Primary
License Number (9)
605
License State (9)
RI

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Codac INC?

The NPI number of Codac INC is 1851513394. It was assigned on May 3, 2007 and is currently active in the NPPES registry.

What is the specialty of Codac INC?

Codac INC is registered under the primary taxonomy Clinic/Center, Rehabilitation, Substance Use Disorder (code 261QR0405X), licensed in RI under license number 605.00.

Where does Codac INC practice?

The practice location is 1052 Park Ave, Cranston, RI 02910-3225. The office can be reached at 401-275-5038 (phone) or 401-942-3590 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1851513394 directly on the NPPES registry website.

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