Organization · Type 2 NPI
Codac Inc
Methadone Clinic · Cranston, RI
NPI number
1295731321
Active
Practice location
1052 Park Ave, Codac Cranston
Cranston, RI 02910
Fax (401) 943-2167
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist | 175T00000X | None listed |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | ACF01632-01 (RI) |
| Public Health or Welfare Agency | 251K00000X | 605.1 (RI) |
| Methadone Clinic Primary | 261QM2800X | 605.01 (RI) |
| Primary Care Clinic/Center | 261QP2300X | ACF01632-01 (RI) |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 605.1 (RI) |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 605.01 (RI) |
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | 605.1 (RI) |
Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
29 other providers at this address
- Codac Behavioral HealthcareCommunity/Behavioral Health Agency Cranston, RI NPI 1780082743
- Codac IncSubstance Use Disorder Rehabilitation Clinic/Center Cranston, RI NPI 1467988683
- Codac IncSubstance Use Disorder Rehabilitation Clinic/Center Cranston, RI NPI 1851513394
- Ariel M. Derensis, LCDPAddiction (Substance Use Disorder) Counselor Cranston, RI NPI 1477364156
- Ashley Marie Walker, CADC LCDPAddiction (Substance Use Disorder) Counselor Cranston, RI NPI 1255187696
- Darryl Walker Jr.Addiction (Substance Use Disorder) Counselor Cranston, RI NPI 1386341824
- Dustin Alvanas, LCDPAddiction (Substance Use Disorder) Counselor Cranston, RI NPI 1548022734
- Edward McGuirl, LCDPAddiction (Substance Use Disorder) Counselor Cranston, RI NPI 1356580716
- Ileana SantiagoAddiction (Substance Use Disorder) Counselor Cranston, RI NPI 1497144752
- Jane F. Dilorenzo, LCDPAddiction (Substance Use Disorder) Counselor Cranston, RI NPI 1710109848
- Jazmine Dulcinea Fernandez, BAAddiction (Substance Use Disorder) Counselor Cranston, RI NPI 1073351037
- Jeanette Giorgi, BA, LCDP, CADCAddiction (Substance Use Disorder) Counselor Cranston, RI NPI 1699984716
About NPI 1295731321
Codac Inc's National Provider Identifier is 1295731321, issued on Jun 23, 2005. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Cranston, RI. The record was last updated on Dec 21, 2021.