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Contact Information

A CHANGE INTO RECOVERY, LLC
719 E MAIN
SUITE C
PUYALLUP, WA98372-3306
 Phone: 253-841-8165
 Fax: 253-841-8168
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for A CHANGE INTO RECOVERY, LLC

NPI Number 1386019727
LBN Legal business name A CHANGE INTO RECOVERY, LLC
Authorized official DAVE HARRIS - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/10/2015
Last updated 12/10/2015 - About 10 years ago
Identifiers
WA License # CP00002706
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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