Organization
SOUND RECOVERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW LUCHINI (ACCOUNTS MANAGER)
(928) 533-4220
Entity
Organization
Contact information
Practice address
201 VALLEY AVE NW, A, PUYALLUP, WA 98371-3305
(253) 848-3363
Mailing address
201 VALLEY AVE NW, A, PUYALLUP, WA 98371-3305
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NT00001624
WA
Other
Enumeration date
11/12/2012
Last updated
11/12/2012
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