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VITAL CHANGES TREATMENT, INC

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Company Details

Legal Name: VITAL CHANGES TREATMENT, INC
Jurisdiction: WASHINGTON
Entity Type: WA PROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: June 13th 2008
Expiration date: 30 Jun 2017
UBI Number: 602 840 154
ZIP code: 98057
City: Renton
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 451 SW 10TH ST #108, RENTON, WA, 98057, UNITED STATES

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Registered Agent Information

Name Role Address
TERRY WOODLAND Registered Agent 451 SW 10TH ST STE 100 BLDG, 100, RENTON, WA, 98057-0000, UNITED STATES

Key Officers & Management

Name Role Address
TERRY WOODLAND Governing Person 451 SW 10TH STREET, SUITE 100, RENTON, WA, 98057, UNITED STATES

National Provider Identifier

NPI Number:
1871756494

Authorized Person:

Name:
MS. TERRY G WOODLAND
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary:
Yes

Contacts:

Fax:
4253362808
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