Name: | Greater RI Addiction Services LLC |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Limited Liability Company |
Status: | Revoked Entity |
Date of Organization in Rhode Island: | 26 Nov 2007 (17 years ago) |
Date of Dissolution: | 15 Jun 2009 (16 years ago) |
Date of Status Change: | 15 Jun 2009 (16 years ago) |
Identification Number: | 000274939 |
ZIP code: | 02905 |
County: | Providence County |
Principal Address: | 1704 BROAD STREET, CRANSTON, RI, 02905, USA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1902085467 | 2007-10-31 | 2007-10-31 | 1704 BROAD ST, CRANSTON, RI, 029052720, US | 1704 BROAD ST, CRANSTON, RI, 029052720, US | |||||||||||||||||||
|
Phone | +1 401-461-5555 |
Fax | 4014615599 |
Authorized person
Name | MS. KAREN E. MAINE |
Role | ADDICTIONS COUNSELOR |
Phone | 4014615555 |
Taxonomy
Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
License Number | LCDP00390 |
State | RI |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
KAREN E. MAINE | Agent | 1704 BROAD STREET, CRANSTON, RI, 02905, USA |
Number | Name | File Date |
---|---|---|
200946643060 | Revocation Certificate For Failure to File the Annual Report for the Year | 2009-06-15 |
200944396760 | Revocation Notice For Failure to File An Annual Report | 2009-03-25 |
200702969870 | Articles of Organization | 2007-11-26 |
Date of last update: 11 Oct 2024
Sources: Rhode Island Department of State