Healthcare Provider Details

I. General information

NPI: 1760354443
Provider Name (Legal Business Name): INTO ACTION RECOVERY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2025
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5213 W PEDRO LN
LAVEEN AZ
85339-7193
US

IV. Provider business mailing address

5213 W PEDRO LN
LAVEEN AZ
85339-7193
US

V. Phone/Fax

Practice location:
  • Phone: 604-723-6326
  • Fax:
Mailing address:
  • Phone: 604-723-6326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRISTOPHER BURWASH
Title or Position: OWNER
Credential:
Phone: 604-723-6326