| Name: | MAP BEHAVIORAL HEALTH SERVICES, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Non-Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 17 Aug 1990 (34 years ago) |
| Identification Number: | 000061556 |
| ZIP code: | 02907 |
| County: | Providence County |
| Principal Address: | 66 BURNETT STREET, PROVIDENCE, RI, 02907, USA |
| Purpose: | TO PROVIDE EFFECTIVE SUBSTANCE ABUSE TREATMENT FOR MINORITY (NOT LIMITED TO) INDIVIDUALS, INCLUDING SUPPORTIVE HOME ENVIRONMENT |
| NAICS: | 813920 - Professional Organizations |
| Historical names: |
MAP - Alcohol & Drug Rehabilitation Programs, Inc. MAP-ALCOHOL & DRUG REHABILITATIVE SERVICES, INC. |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477951176 | 2014-12-11 | 2022-07-21 | 66 BURNETT ST, PROVIDENCE, RI, 029072527, US | 66 BURNETT ST, PROVIDENCE, RI, 029072527, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 401-785-0050 |
Authorized person
| Name | MR. WILLIAM ROSE |
| Role | VP OF BOARD OF DIRECTORS |
| Phone | 4017850050 |
Taxonomy
| Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 01418 |
| State | MA |
| Name | Role | Address |
|---|---|---|
| LIONEL FERNANDEZ | Agent | 66 BURNETT STREET, PROVIDENCE, RI, 02907, USA |
| Name | Role | Address |
|---|---|---|
| WILLIAM J ROSE | VICE PRESIDENT | 232 CHESTNUT STREET REHOBOTH, MA 02769 USA |
| Name | Role | Address |
|---|---|---|
| DAVID JENNINGS | DIRECTOR | 65 BURNETT PROVIDENCE, RI 02907 |
| LINDA CLINE | DIRECTOR | 113 ALGEN AVE. PROVIDENCE, RI 02907 USA |
| ROLAND MEADOWS | DIRECTOR | 6 MYRA STREET PROVIDENCE, RI 02909 |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 2007-06-28 | MAP-ALCOHOL & DRUG REHABILITATIVE SERVICES, INC. | MAP BEHAVIORAL HEALTH SERVICES, INC. |
| Name Change | 1999-02-12 | MAP - Alcohol & Drug Rehabilitation Programs, Inc. | MAP-ALCOHOL & DRUG REHABILITATIVE SERVICES, INC. |
| Number | Name | File Date |
|---|---|---|
| 202445851870 | Annual Report | 2024-02-07 |
| 202328018880 | Annual Report | 2023-02-09 |
| 202212321520 | Annual Report | 2022-03-07 |
| 202103553140 | Statement of Change of Registered/Resident Agent | 2021-10-20 |
| 202197764770 | Annual Report | 2021-06-03 |
| 202042310950 | Annual Report | 2020-06-16 |
| 201997460000 | Annual Report | 2019-06-18 |
| 201864224010 | Annual Report | 2018-05-08 |
| 201747282500 | Annual Report | 2017-07-12 |
| 201602714180 | Annual Report | 2016-07-29 |
Date of last update: 07 Oct 2024
Sources: Rhode Island Department of State
