Organization · Type 2 NPI
Codac Inc
Methadone Clinic · East Providence, RI
NPI number
1376769919
Active
Practice location
850 Waterman Ave, Codac East Bay
East Providence, RI 02914
Fax (401) 434-6116
Mailing address
1052 Park Ave
Cranston, RI 02910
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist | 175T00000X | None listed |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | ACF01632-03 (RI) |
| Public Health or Welfare Agency | 251K00000X | 605.2 (RI) |
| Methadone Clinic | 261QM2800X | 605.2 (RI) |
| Methadone Clinic Primary | 261QM2800X | 605.02 (RI) |
| Primary Care Clinic/Center | 261QP2300X | ACF01632-03 (RI) |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 605.2 (RI) |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 605.02 (RI) |
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | 605.2 (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.
7 other providers at this address
- Erin Cox, BA, CADC, LCDPAddiction (Substance Use Disorder) Counselor East Providence, RI NPI 1003784372
- Kristina Marie Micheli, MA.Addiction (Substance Use Disorder) Counselor East Providence, RI NPI 1700420122
- Lauranne Howard, LCDP-56Addiction (Substance Use Disorder) Counselor East Providence, RI NPI 1518137058
- Marla K. PasquaAddiction (Substance Use Disorder) Counselor East Providence, RI NPI 1205307931
- Megan Cordeiro Ferreira, LMHCMental Health Counselor East Providence, RI NPI 1750866638
- Michael Bettencourt, LCDPAddiction (Substance Use Disorder) Counselor East Providence, RI NPI 1558767236
- Rebecca Lynn Brown, LMHCMental Health Counselor East Providence, RI NPI 1811411457
About NPI 1376769919
Codac Inc's National Provider Identifier is 1376769919, issued on Apr 18, 2007. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in East Providence, RI. The record was last updated on Dec 21, 2021.