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Organization
REACH FOR RECOVERY, INC.
Active
Organization
REACH FOR RECOVERY, INC.
Active
Other names
Ottagan Addictions Recovery, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA JURRIES (DIRECTOR OF OPERATIONS)
(616) 396-5284
Entity
Organization
Contact information
Practice address
483 CENTURY LN, HOLLAND, MI 49423-4286
(616) 396-5284
(616) 396-8387
Mailing address
483 CENTURY LN, HOLLAND, MI 49423-4286
(616) 396-5284
(616) 396-8387
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
NULL
175T00000X
Peer Specialist
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
NULL
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
251K00000X
Public Health or Welfare Agency
Primary
700026
MI
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/29/2005
Last updated
12/14/2023
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