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CODAC INC
NPI 1467988683
Clinic/Center - Rehabilitation, Substance Use Disorder in Cranston, RI

Active since May 08, 2017
1052 PARK AVE, CRANSTON, RI 02910(401) 275-5038(401) 942-3590 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 21, 2021, Apr 25, 2019, May 8, 2017 (3 updates tracked since 2017).

About Codac Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CODAC INC (NPI 1467988683) is a healthcare organization registered as a rehabilitation, substance use disorder in Cranston, Rhode Island and active in the NPI registry since May 2017. The organization lists Alisha M Bourdeau, Cfo, as its authorized official.

NPPES Registry Identity

NPI1467988683
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameCODAC INC
Location Address1052 PARK AVECranston, RI 02910-3225
Mailing Address1052 Park AveCranston, RI 02910-3225 · (401) 275-5038 · Fax (401) 942-3590
Phone(401) 275-5038
Fax(401) 942-3590
Organization SubpartNo
Authorized OfficialAlisha M BourdeauCfo · (401) 275-5038
Enumeration DateMay 8, 2017
Last NPPES UpdateDecember 21, 20213 updates tracked since enumeration
NPPES CertifiedDecember 21, 2021
✔ NPI 1467988683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in RI · ACF01632
Also ListedPeer SpecialistTaxonomy 175T00000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License ACF01632 (RI)
1052 PARK AVE, Cranston, RI 02910
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Other Identifiers 1

MedicaidCI01382RI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA L LANGLOIS LCDP
Counselor (Addiction (Substance Use Disorder))
1052 PARK AVE
CRANSTON, RI 02910
Providence County (401) 461-5056
JAZMINE DULCINEA FERNANDEZ BA
Counselor (Addiction (Substance Use Disorder))
1052 PARK AVE
CRANSTON, RI 02910
Providence County (401) 462-6666
JENNIFER LEE ADAMS MA, LCDP
Counselor (Addiction (Substance Use Disorder))
1052 PARK AVE
CRANSTON, RI 02910
Providence County (401) 536-0393
MS. ASHLEY MARIE WALKER CADC LCDP
Counselor (Addiction (Substance Use Disorder))
1052 PARK AVE
CRANSTON, RI 02910
Providence County (401) 942-1450
KENNETH HAGGARD PHD, LCDP
Counselor (Mental Health)
1052 PARK AVE
CRANSTON, RI 02910
Providence County (401) 461-5056
CODAC INC
Clinic/Center (Methadone)
1052 PARK AVE, CODAC CRANSTON
CRANSTON, RI 02910
Providence County (401) 461-5056
MARGARIDA A RENZI MA,RYT,LCDP
Counselor (Addiction (Substance Use Disorder))
1052 PARK AVE
CRANSTON, RI 02910
Providence County (401) 461-5056
EDWARD MCGUIRL LCDP
Counselor (Addiction (Substance Use Disorder))
1052 PARK AVE
CRANSTON, RI 02910
Providence County (401) 461-5056

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Codac Inc's NPI number?

The NPI number for Codac Inc is 1467988683. It was assigned to this organization in the NPPES registry on May 8, 2017.

Where is Codac Inc located?

Codac Inc is located at 1052 Park Ave, Cranston, RI 02910. The listed phone number is (401) 275-5038.

What is Codac Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Codac Inc was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.