Name: | Riverbend Center for Mental Health |
Jurisdiction: | Alabama |
Legal type: | Domestic Non-Profit Corporation |
Status: | Exists |
Date of registration: | 18 Oct 1968 (56 years ago) (Companies founded in October 1968) |
Entity Number: | 000-070-238 |
Register Number: | 000070238 |
Historical Names: |
Muscle Shoals Mental Health Center
|
Place of Formation: | Lauderdale County |
Principal Address: | ---, AL |
Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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SSCWXEMYNAM8 | 2024-07-17 | 635 W COLLEGE ST, FLORENCE, AL, 35630, 5313, USA | 635 W COLLEGE ST, FLORENCE, AL, 35630, 5313, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
URL | RCMH.ORG |
Division Name | RIVERBEND CENTER FOR MENTAL HEALTH |
Congressional District | 04 |
State/Country of Incorporation | AL, USA |
Activation Date | 2023-07-20 |
Initial Registration Date | 2020-11-19 |
Entity Start Date | 1968-10-18 |
Fiscal Year End Close Date | Sep 30 |
Service Classifications
NAICS Codes | 621420 |
Points of Contacts
Electronic Business | |
---|---|
Title | PRIMARY POC |
Name | STEVEN R BERKOWITZ |
Role | FINANCE DIRECTOR |
Address | 635 W COLLEGE ST, FLORENCE, AL, 35630, 5313, USA |
Government Business | |
---|---|
Title | PRIMARY POC |
Name | STEVEN R BERKOWITZ |
Role | FINANCE DIRECTOR |
Address | 635 W COLLEGE ST, FLORENCE, AL, 35630, 5313, USA |
Past Performance | |
---|---|
Title | PRIMARY POC |
Name | DONNA FLOYD |
Address | 635 W COLLEGE ST, FLORENCE, AL, 35630, USA |
Title | ALTERNATE POC |
Name | DONNA FLOYD |
Address | 635 W COLLEGE ST, FLORENCE, AL, 35630, USA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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1508822313 | 2006-04-21 | 2023-04-25 | 635 W COLLEGE ST, FLORENCE, AL, 356305313, US | 635 W COLLEGE ST, FLORENCE, AL, 356305313, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Phone | +1 256-764-3431 |
Fax | 2567652036 |
Authorized person
Name | ELIZABETH JAMES |
Role | CHIEF EXECUTIVE OFFICER |
Phone | 2567643431 |
Taxonomy
Taxonomy Code | 251B00000X - Case Management Agency |
State | AL |
Is Primary | No |
Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
State | AL |
Is Primary | Yes |
Taxonomy Code | 320800000X - Mental Illness Community Based Residential Treatment Facility |
State | AL |
Is Primary | No |
Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
State | AL |
Is Primary | No |
Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
Is Primary | No |
Other Provider Identifiers
Issuer | DEPT OF MENTAL ILLNESS |
Number | 330000011 |
State | AL |
Issuer | DEPARTMENT OF SUBSTANCE A |
Number | 330034011 |
State | AL |
Issuer | CASE MANAGEMENT |
Number | 590000011 |
State | AL |
Issuer | MEDICARE GROUP NUMBER |
Number | D078 |
State | AL |
Name | Role |
---|---|
HALTOM, E B JR | Incorporator |
HALE, M GRESHAM | Incorporator |
EVANS, EVELYN B | Incorporator |
Event Date | Event Type | Old Value | New Value |
---|---|---|---|
1979-07-02 | Name Change | Muscle Shoals Mental Health Center | Riverbend Center for Mental Health |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State