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Community Service Programs of West Alabama, Inc.

Details

Name: Community Service Programs of West Alabama, Inc.
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 13 Jun 1974 (50 years ago) (Companies founded in June 1974)
Entity Number: 000-065-321
Register Number: 000065321
Historical Names: Community Service Programs of Tuscaloosa- Bibb Counties, Inc.
ZIP code: 35401 (Companies in Tuscaloosa, 35401)
County: Tuscaloosa
Place of Formation: Tuscaloosa County
Principal Address: TUSCALOOSA, AL
Registered Office Street Address: 601 BLACK BEARS WAYTUSCALOOSA, AL 35401

Activities COMBAT POVERTY

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
GKJYK54UUW87 2024-07-05 601 BLACK BEARS WAY, TUSCALOOSA, AL, 35401, 4807, USA 601 BLACK BEARS WAY, TUSCALOOSA, AL, 35401, 4807, USA

Business Information

URL http://www.cspwal.com
Congressional District 07
State/Country of Incorporation AL, USA
Activation Date 2023-07-10
Initial Registration Date 2005-05-11
Entity Start Date 1974-06-13
Fiscal Year End Close Date Sep 30

Points of Contacts

Electronic Business
Title PRIMARY POC
Name HEATHER J SIAVELIS
Role MS
Address 601 BLACK BEARS WAY, TUSCALOOSA, AL, 35401, 4807, USA
Title ALTERNATE POC
Name HEATHER J SIAVELIS
Role MS
Address 601 BLACK BEARS WAY, TUSCALOOSA, AL, 35401, 4807, USA
Government Business
Title PRIMARY POC
Name CYNTHIA W BURTON
Role MS.
Address 601 BLACK BEARS WAY, TUSCALOOSA, AL, 35401, 4807, USA
Past Performance
Title PRIMARY POC
Name CYNTHIA W BURTON
Role MS
Address 601 BLACK BEARS WAY, TUSCALOOSA, AL, 35401, 4807, USA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649325788 2007-01-25 2020-08-22 601 17TH ST, TUSCALOOSA, AL, 354014807, US 2002 MCFARLAND BLVD E, SUITE 209, TUSCALOOSA, AL, 354045805, US

Contacts

Phone +1 205-752-5429
Fax 2057528653
Phone +1 205-752-0476
Fax 2057528122

Authorized person

Name MS. CYNTHIA BURTON
Role DIRECTOR
Phone 2057525429

Taxonomy

Taxonomy Code 2251P0200X - Pediatric Physical Therapist
License Number PTH2409
State AL
Is Primary No
Taxonomy Code 225XP0200X - Pediatric Occupational Therapist
License Number 0207
State AL
Is Primary No
Taxonomy Code 235Z00000X - Speech-Language Pathologist
License Number 2078
State AL
Is Primary No
Taxonomy Code 235Z00000X - Speech-Language Pathologist
License Number 453
State AL
Is Primary No
Taxonomy Code 251B00000X - Case Management Agency
Is Primary No

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
69ZL0 Obsolete Non-Manufacturer 2011-02-26 2024-09-20 No data 2025-09-18

Contact Information

POC SUSIE BRANDINO
Phone +1 205-639-5202
Fax +1 205-639-5202
Address 2700 MCFARLAND BLVD E, TUSCALOOSA, AL, 35405 1813, UNITED STATES

Ownership of Offeror Information

Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

Agent

Name Role Address
BURTON, CYNTHIA W Agent 601 BLACK BEARS WAYTUSCALOOSA, AL 35401

Incorporator

Name Role Address
HOWARD, WANDA Incorporator 1921 PEBBLE LAKE CIRCLEBIRMINGHAM, AL 35235
PHILLIPS, A B Incorporator No data
CHANDLER, COLUMBUS Incorporator No data
JONES, LAGRAIN MRS Incorporator No data
GORDON, DAVID Incorporator 1201 West Peachtree Street NW, Suite 1100Atlanta, GA 30309

Events

Event Date Event Type Old Value New Value
1985-07-12 Name Change Community Service Programs of Tuscaloosa- Bibb Counties, Inc. Community Service Programs of West Alabama, Inc.

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State