Organization
OLYMPIC RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY COONEY (CEO)
(360) 515-0070
Entity
Organization
Contact information
Practice address
8645 MARTIN WAY E # 100, LACEY, WA 98516-5851
(360) 515-0070
(928) 708-9620
Mailing address
8645 MARTIN WAY E # 100, LACEY, WA 98516-5851
(360) 515-0070
(928) 708-9620
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
34166800
WA
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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