Provider Demographics
NPI:1033740162
Name:R U READY RECOVERY PLLC
Entity Type:Organization
Organization Name:R U READY RECOVERY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:S
Authorized Official - Last Name:VANTIL
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:616-437-5687
Mailing Address - Street 1:19677 S OAKLEY RD
Mailing Address - Street 2:
Mailing Address - City:OAKLEY
Mailing Address - State:MI
Mailing Address - Zip Code:48649-9705
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:222 E MASON ST APT 4
Practice Address - Street 2:
Practice Address - City:OWOSSO
Practice Address - State:MI
Practice Address - Zip Code:48867-3053
Practice Address - Country:US
Practice Address - Phone:616-437-5687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-28
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty