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OLYMPIC RECOVERY CENTER, LLC

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Company Details

Legal Name: OLYMPIC RECOVERY CENTER, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: July 29th 2014
Date of Dissolution: December 1st 2016
Expiration date: 31 Jul 2016
UBI Number: 603 423 752
ZIP code: 98371
City: Puyallup
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 201 VALLEY AVE NW #A, PUYALLUP, WA, 98371, UNITED STATES

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Registered Agent Information

Name Role Address
DEBRA COONEY Registered Agent 17228 10TH AVE S, SPANAWAY, WA, 98387-0000, UNITED STATES

Key Officers & Management

Name Role Address
JAMES RIZZO Governing Person 22815 81ST ST CT E, GRAHAM, WA, 98338, UNITED STATES
STEPHEN YOUNG Governing Person 19230 90TH AVENUE CT E, GRAHAM, WA, 98338-6496, UNITED STATES
BARRY COONEY Governing Person 17228 10TH AVE S, SPANAWAY, WA, 98387-8933, UNITED STATES
JOHN FAULKNER Governing Person 22815 81ST ST CT E, GRAHAM, WA, 98338, UNITED STATES
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National Provider Identifier

NPI Number:
1467857904

Authorized Person:

Name:
BARRY COONEY
Role:
CEO
Phone:

Taxonomy:

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

Contacts:

Fax:
9287089620
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