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Codac Inc

Substance Use Disorder Rehabilitation Clinic/Center in Cranston, RI · enumerated 2017 · authorized official Alisha Bourdeau, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1467988683

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Registry record

Entity type Organization (Type 2)
Legal business name Codac Inc
Practice address 1052 Park Ave, Cranston, RI, 02910
Phone (401) 275-5038
Fax (401) 942-3590
Enumeration date May 8, 2017
Last updated in NPPES Dec 21, 2021

Taxonomy & classification

175T00000X Peer Specialist Other Service Providers Secondary
261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities · License ACF01632 (RI) Secondary
261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities · License ACF01632 (RI) Primary

Authorized official

Name Alisha Bourdeau
Title Cfo
Phone (401) 275-5038

Other identifiers

Identifier Type State Issuer
CI01382 Medicaid RI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-12-21. Verify at npiregistry.cms.hhs.gov.
Where is Codac Inc located?
The practice location on file with NPPES is in Cranston, RI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-12-21.