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Marion County Treatment Center, Inc.

Details

Name: Marion County Treatment Center, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 14 Nov 2000 (24 years ago) (Companies founded in November 2000)
Date of dissolution: 01 Oct 2024
Entity Number: 000-213-465
Register Number: 000213465
ZIP code: 35504 (Companies in Walker, 35504)
County: Walker
Place of Formation: Walker County
Principal Address: JASPER, AL
Registered Office Street Address: 2195 NORTH AIRPORT RDJASPER, AL 35504
Authorized Capital: $100
Paid Share Capital: $100

Activities RUN A FACILITY IN WHICH METHADONE IS ADMINISTERED TO PATIENTS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1750458550 2006-11-29 2019-12-19 1879 MILITARY ST SOUTH, HAMILTON, AL, 35570, US 1879 MILITARY ST SOUTH, HAMILTON, AL, 35570, US

Contacts

Phone +1 205-921-3799
Fax 2059213480

Authorized person

Name PATRICIA ANN WALDROP
Role CEO
Phone 2052211799

Taxonomy

Taxonomy Code 261QM2800X - Methadone Clinic
License Number 00005812
State AL
Is Primary Yes

Other Provider Identifiers

Issuer BC/BS
Number 515-24062
State AL

Agent

Name Role
WALDROP, PAT Agent

Incorporator

Name Role
CAMP, NATH T Incorporator
WALDROP, PAT Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State