Organization
ROYAL WA SUMNER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE VAYSBERG (CFO)
(847) 345-5541
Entity
Organization
Contact information
Practice address
1723 BONNEY AVE, SUMNER, WA 98390-2129
(888) 468-3389
Mailing address
1590 S CONGRESS AVE, PALM SPRINGS, FL 33406-5957
(561) 562-6271
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
05/20/2025
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