Organization · Type 2 NPI
Codac Inc
Methadone Clinic · Saunderstown, RI
NPI number
1679799217
Active
Practice location
3045 Tower Hill Rd
Saunderstown, RI 02874-1501
Fax (401) 789-0251
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 | ACF01632-02 (RI) |
| Public Health or Welfare Agency | 251K00000X | 605.6 (RI) |
| Methadone Clinic | 261QM2800X | 605.6 (RI) |
| Methadone Clinic Primary | 261QM2800X | 605.06 (RI) |
| Primary Care Clinic/Center | 261QP2300X | ACF01632-02 (RI) |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 605.6 (RI) |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 605.06 (RI) |
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | 605.6 (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.
2 other providers at this address
About NPI 1679799217
Codac Inc's National Provider Identifier is 1679799217, issued on Apr 18, 2007. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Saunderstown, RI. The record was last updated on Dec 21, 2021.