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
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 | |||||||||||||||||||||||||
|
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 |
Name | Role |
---|---|
WALDROP, PAT | Agent |
Name | Role |
---|---|
CAMP, NATH T | Incorporator |
WALDROP, PAT | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State