Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
CODAC INC
Active
Organization
CODAC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISHA M BOURDEAU (CFO)
(401) 275-5038
Entity
Organization
Contact information
Practice address
3 REGAN CT, CRANSTON, RI 02920
(401) 462-3530
(401) 462-3529
Mailing address
1052 PARK AVE, CRANSTON, RI 02910-3225
(401) 275-5038
(401) 942-3590
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
NULL
175T00000X
Peer Specialist
—
—
251K00000X
Public Health or Welfare Agency
Primary
605.08
RI
261QM2800X
Methadone Clinic
605.08
RI
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
605.08
RI
Other
Enumeration date
02/22/2018
Last updated
04/25/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers