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Codac Inc
Substance Use Disorder Rehabilitation Hospital Unit in Cranston, Rhode Island
NPI 1851513394

Codac Inc is a Substance Use Disorder Rehabilitation Hospital Unit based in Cranston, RI. Codac Inc practices in Cranston, RI. The NPI Number for Codac Inc is 1851513394 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. 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: 1052 Park Ave, Cranston, RI, 02910-3225
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851513394
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
05/03/2007
Last Update Date
03/12/2024
tick
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.
605 (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
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
207QA0401X
License No.
605.0 (Rhode Island)
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
ACF01632 (Rhode Island)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 4
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
251K00000X
License No.
605.00 (Rhode Island)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
605 (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 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
605.00 (Rhode Island)
Definition
Definition to come...
person
Provider's Taxonomy Details 7
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
605.00 (Rhode Island)
Definition
Definition to come...
person
Provider's Taxonomy Details 8
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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