Codac Inc is a Peer Specialist in Providence, Rhode Island. Codac Inc practices all healthcare services and medical treatments related to Peer Specialist. The NPI Number for Codac Inc is 1215153945. The last update date is 2021-12-21.
Codac Inc's current location address is 349 Huntington Ave, Providence, Rhode Island. You can contact this provider via phone number 4019421450 and fax number 4019461550. The mailing address for Codac Inc is 349 Huntington Ave, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Codac Inc |
|---|---|
| Address | 349 Huntington Ave, Providence, Rhode Island |
| Phone Number | 4019421450 |
| Fax Number | 4019461550 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Bourdeau M Alisha |
| Credentials | BS |
| Telephone Number | 4012755038 |
NPI Number Detail
| NPI Number | 1215153945 |
|---|---|
| Provider Enumeration Date | 2007-04-18 |
| Last Updated Date | 2021-12-21 |
Provider Mailing Address Detail
| Address | 349 Huntington Ave |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 2909 |
| Phone Number | 4019421450 |
| Fax Number | 4019461550 |
Provider's Primary Taxonomy Detail
| Speciality | Peer Specialist |
|---|---|
| Taxonomy | 175T00000X |
|
Definition: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
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Post Comment/ Review Below
What is the Codac Inc's unique identification number?
The Codac Inc has been assigned the NPI (National Provider Identifier) Number 1215153945 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Codac Inc is physically located?
The Codac Inc is physically situated at the following address: 349 Huntington Ave, Providence, RI, 2909.
What is Codac Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Codac Inc is Peer Specialist, and the taxonomy code that categorizes this field of expertise is 175T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1215153945 to Codac Inc?
The Centers for Medicare & Medicaid Services originally issued the 1215153945 to Codac Inc on 2007-04-18.
As of what date were the Codac Inc's details last updated?
The information pertaining to the Codac Inc, including its address, specialty, and other details, was most recently updated on 2021-12-21.
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