Olympic Recovery Center LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

34166800 Issued in WA

Legal business name

OLYMPIC RECOVERY CENTER LLC

Practice address

8645 Martin Way E # 100
Lacey, WA 98516-5851

Phone

(360) 515-0070

Fax

(928) 708-9620

NPI assigned

Oct 27, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Barry Cooney

Title

Ceo

Phone

(360) 515-0070

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1467857904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8645 MARTIN WAY E # 100",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985165851",
            "telephone_number": "360-515-0070",
            "fax_number": "928-708-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8645 MARTIN WAY E # 100",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985165851",
            "telephone_number": "360-515-0070",
            "fax_number": "928-708-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "COONEY",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-515-0070"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "WA",
            "license": "34166800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olympia Physical Therapy & Industrial Rehabilitation, Inc.
• Olympia Smiles Dentistry for All Ages
• Olympic Counseling Group
• Olympic Dental Center, LLC
• Olympic Health and Recovery Services
• Olympic Wellness PLLC
• Melanie Ondong, DNP, FNP-C
• Seth Opp-Beckman
• Optimistic Mental Healthcare
• John Orchard-Hays, DPT

• Substance Use Disorder Rehabilitation Clinic/Center in Lacey, WA
• Providers in Lacey, WA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.