A Change Into Recovery, LLC
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Puyallup, WA
NPI 1073984480 · NPPES record last updated Oct 12, 2015
Key facts
- NPI
- 1073984480
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- Legal business name
- A CHANGE INTO RECOVERY, LLC
- Practice address
- 719 E Main Ave, Suite C
Puyallup, WA 98372 - Phone
- (253) 841-8165
- Fax
- (253) 841-8168
- NPI assigned
- Oct 12, 2015
- Organization subpart
- No
Authorized official
- Name
- Mr. Dave Harris, BA, CDP, NCAC II
- Title
- Administrator
- Phone
- (253) 841-8465
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Yes |
Addresses
Primary practice location
719 E Main Ave, Suite C
Puyallup, WA 98372
Mailing address
719 E Main Ave, Suite C
Puyallup, WA 98372
Phone (253) 841-8165
Other providers in Puyallup, WA
- 1918 Winter Street Operating Co LLC
- 1918 Winter Street Operating Co LLC
- 400 29TH Street Northeast Operations LLC
- A Change Into Recovery, LLC
- A Heart and Soul Nurse Consultation, Delegation and Private Duty Services LLC
- A New Beginning Family & Trauma Counseling
- A New Image Denture Clinic
- Ab Legacy Care Afh LLC
All providers in Puyallup, WA · Substance Use Disorder Rehabilitation Clinic/Center in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.