A Change Into Recovery, LLC
NPI #1073984480 in Puyallup, Washington
Provider Information
- NPI Number
- 1073984480
- Entity Type
- Organization
- Organization Name
- A Change Into Recovery, LLC
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Oct 12, 2015
- Last Updated
- Oct 12, 2015
Practice Location
- Address
- 719 E MAIN AVE, SUITE C
- City
- Puyallup
- State
- Washington
- ZIP Code
- 98372
- Phone
- (253) 841-8165
Authorized Official
- Name
- MR. DAVE HARRIS, BA, CDP, NCAC II
- Title
- ADMINISTRATOR
- Phone
- (253) 841-8465
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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