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CrossRoads to Intervention, Inc.

Details

Name: CrossRoads to Intervention, Inc.
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 02 Oct 2002 (22 years ago)
Entity Number: 000-557-121
Register Number: 000557121
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 1909 BESSEMER ROADBIRMINGHAM, AL 35208
Registered Office Street Address ZIP Code: 35208
Registered Office Mailing Address: P.O. BOX 12532BIRMINGHAM, AL 35202
Registered Office Mailing Address ZIP Code: 35202

Activities RECREATION/HEALTH/SOCIAL WELFARE

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
V7WNSC1XFJE7 2024-10-04 1909 BESSEMER RD, BIRMINGHAM, AL, 35208, 4116, USA PO BOX 12532, BIRMINGHAM, AL, 35202, USA

Business Information

URL https://www.crossroadstointervention.com
Congressional District 07
State/Country of Incorporation AL, USA
Activation Date 2023-10-06
Initial Registration Date 2020-11-23
Entity Start Date 1992-10-02
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 621420
Product and Service Codes Q999

Points of Contacts

Electronic Business
Title PRIMARY POC
Name TAWANNA MORTON
Role DIRECTOR
Address 1909 BESSEMER ROAD, BIRMINGHAM, AL, 35208, USA
Government Business
Title PRIMARY POC
Name TAWANNA MORTON
Role DIRECTOR
Address 1909 BESSEMER ROAD, BIRMINGHAM, AL, 35208, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043460835 2008-09-29 2012-10-17 P.O. BOX 12532, BIRMINGHAM, AL, 35202, US 5601 1ST AVENUE NORTH, SUITE 107, BIRMINGHAM, AL, 35212, US

Contacts

Phone +1 205-202-5620
Fax 2052025621

Authorized person

Name MRS. TAWANNA G MORTON
Role INTAKE DIRECTOR/COUNSELOR
Phone 2052025620

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Other Provider Identifiers

Issuer BLUECROSS/BLUESHIELD
Number 515-33321

Incorporator

Name Role Address
DAY, SUSAN Incorporator 3138 HEIGHTS VILLAGEVESTAVIA HILLS, AL 35243
MORTON, TAWANNA Incorporator No data
GILDERSLEEVE, T Incorporator No data
FOOTE, B C Incorporator No data

Agent

Name Role
MORTON, TAWANNA Agent

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State