A Change Into Recovery, Llc

LBN: A Change Into Recovery, Llc
A Change Into Recovery, Llc is an health care organization with primary practice located at 719 E Main Ave, Suite C , Puyallup WA 98372. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. A Change Into Recovery, Llc can be contacted via phone (253) 841-8165, or through Harris, Dave via phone (253) 841-8465.

Contact Information

Primary practice address
719 E Main Ave, Suite C Puyallup WA 98372
Phone: (253) 841-8165
Fax: (253) 841-8168
Website:
Map and Directions
Authorized official contact:
Name: Harris, Dave BA, CDP, NCAC II
Phone: (253) 841-8465

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1073984480
LBN Legal business name A Change Into Recovery, Llc
DBA Doing business as
Authorized official Harris, Dave BA, CDP, NCAC II
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2015
Last updated Oct 12th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers