Provider Demographics
NPI:1053474213
Name:ADDICTION RECOVERY INSTITUTE
Entity Type:Organization
Organization Name:ADDICTION RECOVERY INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCWILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-724-2520
Mailing Address - Street 1:31 N UNION ST
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-2915
Mailing Address - Country:US
Mailing Address - Phone:401-725-2520
Mailing Address - Fax:401-723-9595
Practice Address - Street 1:31 N UNION ST
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-2915
Practice Address - Country:US
Practice Address - Phone:401-725-2520
Practice Address - Fax:401-723-9595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI600.1251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA001999OtherMASS BEHAVIORAL HEALTH PL
RI84-90140OtherUNITED BEHAVIORAL HEALTH
RI1005920OtherNEIGHBOORHOOD HEALTH PLAN
MA1005920OtherNEIGHBOORHOOD HEALTH PLAN
RIAR26102Medicaid
RI410281OtherBLUE CHIP-RITECARE