Organization
R.I.S.A.T., LLC
Active
Parent organization
ACADIA HEALTHCARE COMPANY, INC.
Other names
Providence Comprehensive Treatment Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACADIA HEALTHCARE COMPANY, INC.
Authorized official
BRIAN PHILLIP FARLEY (VP & SECRETARY)
(615) 716-9335
Entity
Organization
Contact information
Practice address
66 PAVILION AVE, PROVIDENCE, RI 02905-1522
(401) 461-9110
(401) 461-9194
Mailing address
6183 PASEO DEL NORTE STE 200, CARLSBAD, CA 92011-1151
(615) 861-6000
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
608
RI
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
608
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1017610
BEACON HEALTH STRATEGIES
RI
01
—
410268
BLUECHIP RITECARE
RI
01
—
84-10032
UNITED HEALTHCARE
RI
05
—
SP02546
—
RI
Enumeration date
07/11/2005
Last updated
04/14/2025
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