| Name: | Northwest Alabama Treatment Center, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 01 Jun 1993 (31 years ago) (Companies founded in June 1993) |
| Entity Number: | 000-157-207 |
| Register Number: | 000157207 |
| ZIP code: | 35021 (Companies in Jefferson, 35021) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 1714 FOURTH AVENUE NOBESSEMER, AL 35021 |
| Registered Office Mailing Address: | P O BOX 554BESSEMER, AL 35021 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
METHADONE TREATMENT
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982074639 | 2015-10-06 | 2015-10-06 | 4204 EDMONTON DR, BESSEMER, AL, 350224878, US | 4204 EDMONTON DR, BESSEMER, AL, 350224878, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 205-425-1200 |
| Fax | 2054259606 |
Authorized person
| Name | DR. JONATHAN ROSS MOORE SR. |
| Role | MEDICAL DIRECTOR |
| Phone | 2054251200 |
Taxonomy
| Taxonomy Code | 3245S0500X - Children's Substance Abuse Rehabilitation Facility |
| License Number | AL30077 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WHITE, ROBERT D | Agent | 919 19TH STREET NORTHBESSEMER, AL 35020 |
| Name | Role | Address |
|---|---|---|
| WHITE, ROBERT D | Incorporator | 919 19TH STREET NORTHBESSEMER, AL 35020 |
| PADEN, JACK G | Incorporator | No data |
| GREEN, ARTHUR | Incorporator | 1000 JACKSON BLVDTARRANT, AL 35217 |
| BIVONA, JAKE V | Incorporator | 1221 CLUBHOUSE ROADBESSEMER, AL 35020 |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
