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 CentersThis industry comprises establishments with medical staff primarily engaged in providing outpatient services related to the diagnosis and treatment of mental health disorders and alcohol and other substance abuse. These establishments generally treat patients who do not require inpatient treatment. They may provide a counseling staff and information regarding a wide range of mental health and substance abuse issues and/or refer patients to more extensive treatment programs, if necessary. Learn more at the U.S. Census Bureau
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 | |||||||||||||||||||||||||||||||||||||||||||
|
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 |
---|---|---|
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 |
Name | Role | Address |
---|---|---|
OWEN P. LYNCH, ESQ. | Agent | 205 HALLENE RD SUITE 102, WARWICK, RI, 02860, 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: 09 Apr 2025
Sources: Rhode Island Department of State