National Provider Identifier Database

CODAC INC
Rehabilitation, Substance Use Disorder


Contact Information

CODAC INC
50 HEALTH LN
WARWICK, RI02886-2711
Phone: 401-384-7300
Fax: 401-384-7483
Website:
Specialty Taxonomy Code
* Rehabilitation, Substance Use Disorder 261QR0405X
Methadone 261QM2800X
Primary Care 261QP2300X
Public Health or Welfare 251K00000X
Rehabilitation 261QR0400X

* Indicates primary specialty

NPI Profile & details for CODAC INC

NPI Number 1639755630
Legal business name
LBN
CODAC INC
Authorized official ALISHA BOURDEAU - (CFO)
Entity Organization
Organization subpart No
Enumeration date 03/20/2021
Last updated 06/11/2025 - About 12 months ago
Sole proprietor1 Not specified
Identifiers
  • RI Medicaid: CO71983

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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