Provider Demographics
NPI:1508942764
Name:REACH FOR RECOVERY, INC.
Entity Type:Organization
Organization Name:REACH FOR RECOVERY, INC.
Other - Org Name:OTTAGAN ADDICTIONS RECOVERY, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:JURRIES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-396-5284
Mailing Address - Street 1:231 WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49423-3126
Mailing Address - Country:US
Mailing Address - Phone:616-396-6872
Mailing Address - Fax:
Practice Address - Street 1:231 WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-3126
Practice Address - Country:US
Practice Address - Phone:616-396-6872
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI700003324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility