OrganizationActive
A Change Into Recovery, LLC
NPI 1073984480 · Substance Use Disorder Rehabilitation Clinic/Center · Puyallup, WA
Provider details
- NPI number
- 1073984480
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dave Harris, Administrator(253) 841-8465
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
719 E Main Ave, Suite C
Puyallup, WA 98372
Phone: (253) 841-8165
Fax: (253) 841-8168
Approximate (ZIP-level) locationGet directions
Mailing address
719 E Main Ave, Suite C
Puyallup, WA 98372
Registry dates
- Enumerated
- 2015-10-12
- Last updated
- 2015-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.