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Madison Behavioral Diagnostic & Treatment Services, P.C.

Details

Name: Madison Behavioral Diagnostic & Treatment Services, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 23 Sep 2003 (21 years ago) (Companies founded in September 2003)
Entity Number: 000-231-207
Register Number: 000231207
ZIP code: 35758 (Companies in Madison, 35758)
County: Madison
Place of Formation: Madison County
Principal Address: MADISON, AL
Registered Office Street Address: 115 CLIFT'S COVE BLVDMADISON, AL 35758
Authorized Capital: $5,000

Activities ANY LAWFUL ACTIVITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1851469142 2006-12-03 2008-02-01 PO BOX 383, MADISON, AL, 357580383, US 1643 SLAUGHTER RD, MADISON, AL, 357588692, US

Contacts

Phone +1 256-895-8148
Fax 2564898148

Authorized person

Name DOUGLAS WILLIAM ADAMS
Role PRESIDENT OWNER
Phone 2568958148

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
License Number 22646
State AL
Is Primary Yes

Agent

Name Role
ADAMS, DOUGLAS W Agent

Incorporator

Name Role
ADAMS, DOUGLAS W Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State