Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

A Change into Recovery, LLC

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1073984480

A Change into Recovery, LLC is a Substance Use Disorder Rehabilitation Clinic/Center in Puyallup, Washington. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

719 E Main Ave Ste C
Puyallup, WA 98372
Phone: (253) 841-8165
Fax: (253) 841-8168
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X

Record details

NPI number1073984480
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dave Harris — Administrator · (253) 841-8465
NPI enumeratedOctober 12, 2015
Last updated in NPPESOctober 12, 2015
Mailing address719 E Main Ave, Suite C, Puyallup, WA 98372

Other providers in Puyallup