Name: | MMHC |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Non-Profit Corporation |
Status: | Activ |
Date of Organization in Rhode Island: | 22 Oct 2013 (11 years ago) |
Identification Number: | 000849388 |
ZIP code: | 02908 |
County: | Providence County |
Principal Address: | 166 VALLEY STREET BUILDING 6M SUITE 103, PROVIDENCE, RI, 02908, USA |
Purpose: | TO PROVIDE THERAPEUTIC SERVICES AND HOUSING TO IDIVIDUALS WITH DUAL DIAGNOSIS PARTICULARLY PTSD AND SUSTANCE ABUSE RESEARCH AND DEVELOPMENT OF OPTIMAL TREATMENT INTERVENTION |
NAICS: | 541713 - Research and Development in Nanotechnology |
Fictitious names: |
FRIENDS OF JIM DERRY (trading name, 2020-08-26 - ) |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1326438284 | 2015-01-30 | 2015-01-30 | 1808 MAIN RD, TIVERTON, RI, 028784625, US | 1808 MAIN RD, TIVERTON, RI, 028784625, US | |||||||||||||||
|
Phone | +1 401-624-7500 |
Authorized person
Name | DR. ROBERT DUWORS |
Role | PRESIDENT |
Phone | 4016247500 |
Taxonomy
Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
State | RI |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
NEVILLE BEDFORD | Agent | 365 EDDY STREET #303, PROVIDENCE, RI, 02903, USA |
Name | Role | Address |
---|---|---|
PETER LANG | PRESIDENT | 166 VALLEY STREET, BUILDING 6M, SUITE 103 PROVIDENCE, RI 02909 USA |
Name | Role | Address |
---|---|---|
ROBERT DUWORS | DIRECTOR | 166 VALLEY STREET PROVIDENCE , RI 02909 USA |
PETER LAND | DIRECTOR | 166 VALLEY STREET, BUILDING 6M, SUITE 103 PROVIDENCE, RI 02909 USA |
ROBERT WOLFORD | DIRECTOR | 166 VALLEY STREET, BUILDING 6M, SUITE 103 PROVIDENCE, RI 02909 USA |
Number | Name | File Date |
---|---|---|
202455399090 | Annual Report | 2024-06-06 |
202326377600 | Annual Report | 2023-01-21 |
202208476290 | Annual Report | 2022-01-23 |
202197771390 | Annual Report | 2021-06-03 |
202051860750 | Statement of Change of Registered/Resident Agent Office | 2020-09-03 |
202050092710 | Fictitious Business Name Statement | 2020-08-26 |
202040810830 | Annual Report | 2020-05-22 |
202040810920 | Statement of Change of Registered/Resident Agent Office | 2020-05-22 |
202040811260 | Annual Report | 2020-05-22 |
202040810560 | Reinstatement | 2020-05-22 |
Date of last update: 18 Oct 2024
Sources: Rhode Island Department of State