HomeNPI Verification

NPI Verification

National Provider Identifier: 1295731321

Codac INC

Organization

Primary Specialty

Clinic/Center, Methadone Clinic

Code: 261QM2800X

All Specialties (8)

Clinic/Center, Rehabilitation, Substance Use Disorder

Code: 261QR0405X

Rehabilitation, Substance Use Disorder Unit

Code: 276400000X

Clinic/Center, Primary Care

Code: 261QP2300X

Clinic/Center, Rehabilitation, Substance Use Disorder

Code: 261QR0405X

Peer Specialist

Code: 175T00000X

Family Medicine, Addiction Medicine

Code: 207QA0401X

Public Health or Welfare

Code: 251K00000X

Clinic/Center, Methadone Clinic

Code: 261QM2800X

Primary

Practice Address

1052 PARK AVE

CODAC CRANSTON

CRANSTON, RI 02910

Phone: 401-461-5056

NPI Enumeration Date

June 23, 2005

NPI Number

1295731321

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry