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GRACE RECOVERY CENTERS, LLC

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Company Details

Legal Name: GRACE RECOVERY CENTERS, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: August 13th 2013
Date of Dissolution: January 3rd 2017
Expiration date: 31 Aug 2016
UBI Number: 603 325 813
ZIP code: 98499
City: Lakewood
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 10116 PORTLAND AVE, TACOMA, WA, 98499, UNITED STATES

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Registered Agent Information

Name Role Address
DEBRA COONEY Registered Agent 17228 10TH AVE S, SPANAWAY, WA, 98387-8933, UNITED STATES

Key Officers & Management

Name Role Address
JAMES RIZZO Governing Person 4369 S JOJOBA WAY, CHANDLER, AZ, 85248-4822, UNITED STATES
BARRY COONEY Governing Person 17228 10TH AVE S, SPANAWAY, WA, 98387-8933, UNITED STATES
STEPHEN YOUNG Governing Person 19230 90TH AVENUE CT E, GRAHAM, WA, 98338-6496, UNITED STATES
* LEGALZOOM.COM INC EXECUTOR 101 N BRAND BLVD 11TH FL, GLENDALE, CA, 91203, UNITED STATES

National Provider Identifier

NPI Number:
1275963613
Link:
View on NPI website

Authorized Person:

Name:
MATHEW LUCHINI
Role:
ACCOUNT MANAGER
Phone:
9285334220

Taxonomy:

Selected Taxonomy:
261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center
Is Primary:
Yes

Contacts:

Phone:
+1 928-708-9615
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