Organization · Type 2 NPI
A Change Into Recovery, LLC
Substance Use Disorder Rehabilitation Clinic/Center · Puyallup, WA
NPI number
1073984480
Active
Practice location
719 E Main Ave, Suite C
Puyallup, WA 98372
Fax (253) 841-8168
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
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About NPI 1073984480
A Change Into Recovery, LLC's National Provider Identifier is 1073984480, issued on Oct 12, 2015. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Puyallup, WA. The record was last updated on Oct 12, 2015.