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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CODAC INC

Active Organization

CODAC INC is a Methadone Clinic organization located in CRANSTON, Rhode Island. NPI 1295731321 is currently active in the NPPES registry. Verify at CMS.

Methadone Clinic · CRANSTON, RI

Registration Details

NPI Number
1295731321
Provider Type
Organization
NPI Issued
Jun 23, 2005 (21.148190724698 yrs)
Last Updated
Dec 21, 2021
Licenses
605.01 (RI)
605.1 (RI)
ACF01632-01 (RI)
605.1 (RI)

Practice Information

Address
1052 PARK AVE
CODAC CRANSTON
CRANSTON, RI, 02910
Browse RI providers · Browse ZIP 02910
Phone
4014615056
Fax
4019432167
Primary Specialty
Methadone Clinic
261QM2800X
Additional Specialty
Substance Use Disorder Unit
Additional Specialty
Primary Care Clinic
Additional Specialty
Peer Specialist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.