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
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 | |||||||||||||||||||
|
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 |
Name | Role |
---|---|
ADAMS, DOUGLAS W | Agent |
Name | Role |
---|---|
ADAMS, DOUGLAS W | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State