# REACH FOR RECOVERY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ottagan Addictions Recovery, Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144207200
- **Authorized official:** MELINDA JURRIES (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (616) 396-5284

## Contact information

- **Practice address:** 483 CENTURY LN, HOLLAND, MI 49423-4286
- **Practice address phone:** (616) 396-5284
- **Practice address fax:** (616) 396-8387
- **Mailing address:** 483 CENTURY LN, HOLLAND, MI 49423-4286
- **Mailing address phone:** (616) 396-5284
- **Mailing address fax:** (616) 396-8387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | 700026 | MI | Yes |
| 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