| NPI | 1144207200 |
|---|---|
| Former Legal Business Name | OTTAGAN ADDICTIONS RECOVERY, INC |
| Entity Type | Organization |
| Authorized Contact | MELINDA JURRIES Director Of Operations 616-396-5284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MI 700026) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 1041C0700X Social Worker, Clinical | |
| 171M00000X Case Manager/Care Coordinator | |
| 2083A0300X Preventive Medicine, Addiction Medicine | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2023-12-14 |