A CHANGE INTO RECOVERY, LLC
NPI 1073984480
Clinic/Center - Rehabilitation, Substance Use Disorder in Puyallup, WA

Q: What is A Change Into Recovery, LLC's NPI number?

The NPI number for A Change Into Recovery, LLC is 1073984480. It was assigned to this organization in the NPPES registry on October 12, 2015.

Q: What is A Change Into Recovery, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Active since October 12, 2015

719 E MAIN AVE, SUITE C, PUYALLUP, WA 98372(253) 841-8165(253) 841-8168 Get Directions Write a Review

NPPES record last updated: October 12, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About A Change Into Recovery, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

A CHANGE INTO RECOVERY, LLC (NPI 1073984480) is a healthcare organization registered as a rehabilitation, substance use disorder in Puyallup, Washington and active in the NPI registry since October 2015. The organization lists Dave Harris, Administrator, as its authorized official.

NPPES Registry Identity

NPI1073984480

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameA CHANGE INTO RECOVERY, LLC

Location Address719 E MAIN AVE, SUITE CPuyallup, WA 98372

Mailing Address719 E Main Ave, Suite CPuyallup, WA 98372 · (253) 841-8165 · Fax (253) 841-8168

Phone(253) 841-8165

Fax(253) 841-8168

Organization SubpartNo

Authorized OfficialDave HarrisAdministrator · (253) 841-8465

Enumeration DateOctober 12, 2015

✔ NPI 1073984480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

719 E MAIN AVE, SUITE C, Puyallup, WA 98372

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is A Change Into Recovery, LLC's NPI number?

The NPI number for A Change Into Recovery, LLC is 1073984480. It was assigned to this organization in the NPPES registry on October 12, 2015.

Where is A Change Into Recovery, LLC located?

A Change Into Recovery, LLC is located at 719 E Main Ave, Suite C, Puyallup, WA 98372. The listed phone number is (253) 841-8165.

What is A Change Into Recovery, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for A Change Into Recovery, LLC was last updated on October 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.