Organization · Type 2 NPI

Codac Inc

Methadone Clinic · Providence, RI

NPI number 1558712034 Active

Practice location

528 N Main St
Providence, RI 02904-5757

Call (401) 808-4278 Map

Fax (401) 808-6957

Mailing address

1052 Park Ave
Cranston, RI 02910-3225

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Public Health or Welfare Agency 251K00000X605.07 (RI)
Health Service Clinic/Center 261QH0100X605.07 (RI)
Methadone Clinic Primary 261QM2800X605.07 (RI)
Primary Care Clinic/Center 261QP2300XACF01632 (RI)
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X605.07 (RI)
Substance Use Disorder Rehabilitation Hospital Unit 276400000X605.07 (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.

35 other providers at this address

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About NPI 1558712034

Codac Inc's National Provider Identifier is 1558712034, issued on Jun 27, 2016. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Providence, RI. The record was last updated on Apr 25, 2019.