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The Clubhouse Autism and Developmental Center LLC

Details

Name: The Clubhouse Autism and Developmental Center LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 26 May 2021 (3 years ago) (Companies founded in May 2021)
Entity Number: 000-864-129
Register Number: 000864129
ZIP code: 36518 (Companies in Washington, 36518)
County: Washington
Place of Formation: Alabama
Registered Office Street Address: 16414 St Stephens AveChatom, AL 36518

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912570797 2021-07-20 2021-07-20 PO BOX 759, CHATOM, AL, 365180759, US 1001 COLLEGE AVE, JACKSON, AL, 365452402, US

Contacts

Phone +1 251-769-0021

Authorized person

Name SAVANNA WILLIAMS
Role OWNER
Phone 2517511687

Taxonomy

Taxonomy Code 103K00000X - Behavior Analyst
Is Primary No
Taxonomy Code 225XP0200X - Pediatric Occupational Therapist
Is Primary No
Taxonomy Code 235Z00000X - Speech-Language Pathologist
Is Primary Yes

Organizer

Name Role Address
Savage, Jenna M Mrs Organizer 51 Old Dairy RdSaint Stephens, AL 36569

Agent

Name Role
Williams, Savanna Agent

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State