| Entity Name: | THE WATERSHED AT CLEAR LAKE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 08 Oct 2002 (22 years ago) |
| Document Number: | P02000109058 |
| FEI/EIN Number | 320036625 |
| Mail Address: | 1792 BELL TOWER LANE, WESTON, FL, 33326, US |
| Address: | 200 CONGRESS PARK DRIVE, SUITE 100, DELRAY BEACH, FL, 33445 |
| ZIP code: | 33445 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508832288 | 2006-02-23 | 2020-08-22 | 20 PROFESSIONAL PARK DR, WEBSTER, TX, 775984127, US | 200 CONGRESS PARK DR, SUITE 100, DELRAY BEACH, FL, 334454609, US | |||||||||||||||||||
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| Phone | +1 561-361-6608 |
| Fax | 5613619857 |
Authorized person
| Name | PATRICK S KIRSE |
| Role | CHIEF FINANCIAL OFFICER |
| Phone | 5613616608 |
Taxonomy
| Taxonomy Code | 283X00000X - Rehabilitation Hospital |
| License Number | 2210-A |
| State | TX |
| Is Primary | Yes |
| LEI number | Registered As | Jurisdiction Of Formation | General Category | Entity Status | Entity created at | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 549300JOIZMT33AM8490 | P02000109058 | US-FL | GENERAL | ACTIVE | No data | |||||||||||||||||||
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| Legal | C/O Kirse, Patrick S, 200 Congress Park Drive, Suite 100, Delray Beach, US-FL, US, 33445 |
| Headquarters | 200 Congress Park Drive, Suite 100, Delray Beach, US-FL, US, 33445 |
Registration details
| Registration Date | 2016-02-13 |
| Last Update | 2023-08-04 |
| Status | LAPSED |
| Next Renewal | 2017-02-10 |
| LEI Issuer | 5493001KJTIIGC8Y1R12 |
| Corroboration Level | FULLY_CORROBORATED |
| Data Validated As | P02000109058 |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| KING WILLIAM G | RECE | 1792 BELL TOWER LANE, WESTON, FL, 33326 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000106421 | THE WATERSHED TEXAS ADDICTION TREATMENT PROGRAMS | EXPIRED | 2013-10-29 | 2018-12-31 | No data | 200 CONGRESS PARK DRIVE, SUITE 100, DELRAY BEACH, FL, 33445 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| DISSOLVED BY COURT ORDER | 2021-08-31 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
