| NPI | 1881764942 |
|---|---|
| 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 | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 700061) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2023-04-03 |