Name: | Mental Health Center of North Central Alabama, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Non-Profit Corporation |
Status: | Exists |
Date of registration: | 16 Feb 1982 (43 years ago) |
Entity Number: | 000-070-240 |
Register Number: | 000070240 |
Historical Names: |
North Central Alabama Mental Health Board, Inc.
|
Place of Formation: | Morgan County |
Principal Address: | DECATUR, AL |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1780859314 | 2008-04-24 | 2008-04-24 | 1316 SOMERVILLE RD SE, SUITE 1, DECATUR, AL, 356014305, US | 4110 HIGHWAY 31 SOUTH, DECATUR, AL, 356014309, US | |||||||||||||||||||||||||
|
Phone | +1 256-355-6105 |
Authorized person
Name | MS. RUTH MARIE HOOD |
Role | EXECUTIVE DIRECTOR |
Phone | 2562607324 |
Taxonomy
Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BCBS PROVIDER # FOR PLUS |
Number | 515-11695 |
State | AL |
Issuer | BCBS PROVIDER # FOR FACILITY |
Number | 510-08101 |
State | AL |
Name | Role |
---|---|
REID, HERMAN | Incorporator |
GREENWOOD, KENNETH R | Incorporator |
Event Date | Event Type | Old Value | New Value |
---|---|---|---|
1995-10-26 | Name Change | North Central Alabama Mental Health Board, Inc. | Mental Health Center of North Central Alabama, Inc. |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State