| NPI | 1851513394 |
|---|---|
| Other Name | CODAC CORPORATE |
| Entity Type | Organization |
| Authorized Contact | ALISHA M BOURDEAU CFO 401-275-5038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: RI 605.0) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 207QA0401X Family Medicine Addiction Medicine (Licence: RI 605.00) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: RI 605.00) | |
| 251K00000X Public Health or Welfare (Licence: RI 605) | |
| 261QM2800X Clinic/Center Methadone (Licence: RI 605.00) | |
| 261QP2300X Clinic/Center Primary Care (Licence: RI ACF01632) | |
| 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: RI 605) | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2021-12-21 |