| Name: | Addiction Recovery Institute South, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 31 Oct 1996 (28 years ago) |
| Identification Number: | 000092035 |
| ZIP code: | 02860 |
| County: | Providence County |
| Principal Address: | 205 HALLENE ROAD SUITE 102 SUITE 102, WARWICK, RI, 02860, USA |
| Purpose: | TO OPERATE A METHADONE MAINTENANCE PROGRAM. |
| NAICS: | 621420 - Outpatient Mental Health and Substance Abuse Centers |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265595433 | 2006-12-19 | 2015-09-11 | 205 HALLENE RD, SUITE 102, WARWICK, RI, 028862450, US | 205 HALLENE RD, SUITE 102, WARWICK, RI, 028862450, US | |||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 401-737-4788 |
| Fax | 4017365299 |
Authorized person
| Name | MR. GREGORY MCWILLIAMS |
| Role | EXECUTIVE DIRECTOR |
| Phone | 4017252520 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | 600.2 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUECHIP-RITECARE |
| Number | 410281 |
| State | RI |
| Issuer | UNITED BEHAVIORAL HEALTH |
| Number | 84-99147 |
| State | RI |
| Issuer | NEIGHBORHOOD HEALTH PLAN |
| Number | 1005920 |
| State | RI |
| Issuer | MEDICAID |
| Number | AR26020 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| JEANNE O'REILLY | Agent | 57 STONEGATE DRIVE, PORTSMOUTH, RI, 02871, USA |
| Name | Role | Address |
|---|---|---|
| GREGORY MCWILLIAMS | PRESIDENT | 106 BARRETT AVE NORTH PROVIDENCE, RI 02904 USA |
| Name | Role | Address |
|---|---|---|
| OWEN LYNCH | SECRETARY | 100 WESTMINSTER STREET SUITE 710 PROVIDENCE, RI 02903 USA |
| Name | Role | Address |
|---|---|---|
| GREGORY MCWILLIAMS | TREASURER | 106 BARRETT AVE NORTH PROVIDENCE, RI 02904 USA |
| Name | Role | Address |
|---|---|---|
| WILLIAM LYNCH | DIRECTOR | 320 NEWPORT AVENUE EAST PROVIDENCE, RI 02916 USA |
| MICHAEL HICKEY | DIRECTOR | 7 AUSTIN AVNUE GREENVILLE, RI 02828 USA |
| Number | Name | File Date |
|---|---|---|
| 202448190020 | Annual Report | 2024-03-11 |
| 202336635860 | Annual Report - Amended | 2023-06-07 |
| 202333162620 | Annual Report | 2023-04-18 |
| 202209513840 | Annual Report | 2022-02-06 |
| 202189659860 | Annual Report | 2021-02-03 |
| 202034107470 | Annual Report | 2020-02-10 |
| 202034107920 | Statement of Change of Registered/Resident Agent | 2020-02-10 |
| 201989073210 | Annual Report | 2019-03-21 |
| 201859284760 | Annual Report | 2018-02-26 |
| 201730416310 | Annual Report | 2017-01-17 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
