Organization · Type 2 NPI
Codac Inc
Methadone Clinic · Pawtucket, RI
NPI number
1629632609
Active
Practice location
600 Pawtucket Ave
Pawtucket, RI 02860-6059
Fax (401) 808-6957
Mailing address
1052 Park Ave
Cranston, RI 02910-3225
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist | 175T00000X | None listed |
| Public Health or Welfare Agency | 251K00000X | None listed |
| Methadone Clinic Primary | 261QM2800X | None listed |
| Primary Care Clinic/Center | 261QP2300X | None listed |
| Rehabilitation Clinic/Center | 261QR0400X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | None listed |
Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
6 other providers at this address
- Rhode Island Spine Center IncChiropractor Pawtucket, RI NPI 1659390813
- Brittany Teixeira, LCDPAddiction (Substance Use Disorder) Counselor Pawtucket, RI NPI 1427585223
- Donald R. Murphy, DCChiropractor Pawtucket, RI NPI 1265440218
- Josh T. Randall, PTPhysical Therapist Pawtucket, RI NPI 1760496426
- Laura B. Murphy, DCChiropractor Pawtucket, RI NPI 1548282304
- Melissa McKennaMental Health Counselor Pawtucket, RI NPI 1114671609
Other methadone clinic providers in Pawtucket
About NPI 1629632609
Codac Inc's National Provider Identifier is 1629632609, issued on Apr 25, 2019. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Pawtucket, RI. The record was last updated on Dec 21, 2021.