Clinic/Center, Rehabilitation, Substance Use Disorder
CODAC INC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1851513394 · enumerated 2007-05-03 · record updated 2026-09-16. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: ALISHA BOURDEAU, CFO · (401) 275-5038
Other names: CODAC BEHAVIORAL HEALTHCARE, CODAC CORPORATE
Addresses and phones
- Mailing address 1052 PARK AVE, CRANSTON, RI, 02910-3225 (401) 275-5038 Fax (401) 942-3590 Google Maps Apple Maps OpenStreetMap
- Practice location 1052 PARK AVE, CRANSTON, RI, 02910-3225 (401) 275-5038 Fax (401) 942-3590 Google Maps Apple Maps OpenStreetMap
Specialties
- Peer Specialist 175T00000X
- Family Medicine, Addiction Medicine 207QA0401X · License 605.00 RI
- Internal Medicine, Cardiovascular Disease 207RC0000X · License 605.00 RI
- Case Management 251B00000X
- Public Health or Welfare 251K00000X · License 605 RI
- Clinic/Center, Methadone Clinic 261QM2800X · License 605.00 RI
- Clinic/Center, Primary Care 261QP2300X · License ACF01632 RI
- Clinic/Center, Rehabilitation, Substance Use Disorder 261QR0405X · Primary · License 605.0 RI
- Rehabilitation, Substance Use Disorder Unit 276400000X · License 605 RI
- Rehabilitation, Substance Use Disorder Unit 276400000X
In this directory
RI Providence County Cranston Clinic/Center, Rehabilitation, Substance Use Disorder
Locations and evidence
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Practice location
CRANSTON, RI, 029103225
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.