Organization · Type 2 NPI
Codac Inc
Methadone Clinic · Providence, RI
NPI number
1992530109
Active
Practice location
45 Royal Little Dr
Providence, RI 02904-1882
Fax (401) 942-3590
Mailing address
1052 Park Ave
Cranston, RI 02910-3225
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Public Health or Welfare Agency | 251K00000X | None listed |
| Methadone Clinic Primary | 261QM2800X | 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.
3 other providers at this address
Other methadone clinic providers in Providence
About NPI 1992530109
Codac Inc's National Provider Identifier is 1992530109, issued on Sep 6, 2024. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Providence, RI. The record was last updated on Sep 6, 2024.