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

CODAC INC

Active Organization

Methadone Clinic · PROVIDENCE, RI

Registration Details

NPI Number
1558712034
Provider Type
Organization
NPI Issued
Jun 27, 2016 (9.8177988436809 yrs)
Last Updated
Apr 25, 2019
Licenses
605.07 (RI)
605.07 (RI)
ACF01632 (RI)
605.07 (RI)
605.07 (RI)

Practice Information

Address
528 N MAIN ST
PROVIDENCE, RI, 029045757
Browse RI providers · Browse ZIP 02904
Phone
4018084278
Fax
4018086957
Primary Specialty
Methadone Clinic
261QM2800X
Additional Specialty
Health Service Clinic
Additional Specialty
Primary Care Clinic
Additional Specialty
Substance Use Disorder Unit

Other Methadone Clinic Organizations in PROVIDENCE, RI

Name NPI
R.I.S.A.T., LLC 1174521488
CODAC INC 1215153945
VICTA LLC 1457822413
BHG LVI, LLC 1508499872
CODAC INC 1992530109
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.