Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CODAC INC
Active OrganizationCODAC INC is a Methadone Clinic organization located in EAST PROVIDENCE, Rhode Island. NPI 1376769919 is currently active in the NPPES registry. Verify at CMS.
Methadone Clinic · EAST PROVIDENCE, RI
Registration Details
- NPI Number
- 1376769919
- Provider Type
- Organization
- NPI Issued
- Apr 18, 2007 (19.329013038509 yrs)
- Last Updated
- Dec 21, 2021
- Licenses
-
ACF01632-03 (RI)ACF01632-03 (RI)605.2 (RI)605.2 (RI)
Practice Information
- Address
-
850 WATERMAN AVECODAC EAST BAYEAST PROVIDENCE, RI, 02914Browse RI providers · Browse ZIP 02914
- Phone
- 4014344999
- Fax
- 4014346116
- Primary Specialty
-
Methadone Clinic
261QM2800X
- Additional Specialty
- Peer Specialist
- Additional Specialty
- Addiction Medicine (Family Practice)
- Additional Specialty
- Substance Use Disorder Rehabilitation Facility
- Additional Specialty
- Public Health / General Public Health
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.