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A Change Into Recovery, LLC

Substance Use Disorder Rehabilitation Clinic/Center in Puyallup, WA · enumerated 2015 · authorized official Dave Harris, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073984480

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Registry record

Entity type Organization (Type 2)
Legal business name A Change Into Recovery, LLC
Practice address 719 E Main Ave, Suite C, Puyallup, WA, 98372
Fax (253) 841-8168
Enumeration date Oct 12, 2015
Last updated in NPPES Oct 12, 2015

Taxonomy & classification

261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Dave Harris
Title Administrator

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for A Change Into Recovery, LLC?
The NPI for A Change Into Recovery, LLC is 1073984480, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for A Change Into Recovery, LLC?
NPPES lists Dave Harris (Administrator) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-10-12.