| 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 SpecialistsThis U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of psychiatry or psychoanalysis. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
| 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
