| Name: | Comprehensive Addiction Treatment LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 03 Nov 2017 (7 years ago) |
| Identification Number: | 001678605 |
| ZIP code: | 02852 |
| County: | Washington County |
| Principal Address: | 1950 TOWER HILL ROAD, NORTH KINGSTOWN, RI, 02852, USA |
| Purpose: | OUTPATIENT PHYSICIAN OFFICE EXCLUSIVELY TREATING ADDICTION |
| NAICS: | 621112 - Offices of Physicians, Mental Health Specialists |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114430907 | 2017-11-15 | 2017-11-15 | 23 BROWN SCHOOL RD, CHEPACHET, RI, 028142823, US | 1950 TOWER HILL RD, N KINGSTOWN, RI, 028526639, US | |||||||||||||||||||
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| Phone | +1 401-559-3954 |
| Fax | 4016158503 |
Authorized person
| Name | DR. MICHAEL CHRISTIAN COBURN |
| Role | OWNER |
| Phone | 4015593954 |
Taxonomy
| Taxonomy Code | 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center |
| License Number | MD08308 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MICHAEL C. COBURN MD | Agent | 1950 TOWER HILL ROAD, NORTH KINGSTOWN, RI, 02852, USA |
| Number | Name | File Date |
|---|---|---|
| 202444278740 | Annual Report | 2024-01-19 |
| 202326467860 | Annual Report | 2023-01-23 |
| 202209067550 | Annual Report | 2022-02-01 |
| 202100443390 | Annual Report | 2021-08-28 |
| 202056979970 | Annual Report | 2020-09-22 |
| 201915289300 | Annual Report | 2019-08-25 |
| 201879450510 | Annual Report | 2018-10-15 |
| 201752951480 | Articles of Organization | 2017-11-03 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
