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Gulf Coast Treatment Center, Inc.

Details

Name: Gulf Coast Treatment Center, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 27 Sep 1995 (29 years ago) (Companies founded in September 1995)
Date of dissolution: 18 Oct 2021
Entity Number: 000-174-704
Register Number: 000174704
ZIP code: 36752 (Companies in Lowndes, 36752)
County: Lowndes
Place of Formation: Mobile County
Principal Address: SATSUMA, AL
Registered Office Street Address: 322 THUNDERBIRD DRSATSUMA, AL 36752
Authorized Capital: 100
Paid Share Capital: ----

Activities OPERATE A METHADONE TREATMENT CENTER/REHABILITATION CENTER

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1346396397 2007-01-25 2010-07-01 PO BOX 1149, GRAND BAY, AL, 365411149, US 12271 INTERCHANGE RD., GRAND BAY, AL, 36541, US

Contacts

Phone +1 251-865-0123
Fax 2518650247

Authorized person

Name MS. LINDA GABRIEL
Role EXECUTIVE DIRECTOR
Phone 2518650123

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
License Number AL10034M
State AL
Is Primary Yes

Other Provider Identifiers

Issuer REGISTERED PHARMACY
Number 111108
State AL
Issuer FEDERAL OTP NUMBER
Number AL10034M
State AL

Incorporator

Name Role
MILLER, HOLLY Incorporator

Agent

Name Role
MILLER, HOLLY Agent

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State