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General NPI Number Information
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NPI Number | 1508942764
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Entity Type | Organization
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Legal Business Name | REACH FOR RECOVERY, INC.
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 04/03/2023
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Provider Practice Location Address
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Address Line | 231 WASHINGTON BLVD
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City | HOLLAND
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State | MI
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Zip | 49423-3126
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Country | US
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Telephone | 616-396-6872
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Fax |
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Provider Business Mailing Address
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Address Line | 231 WASHINGTON BLVD
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City | HOLLAND
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State | MI
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Zip | 49423-3126
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Country | US
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Telephone | 616-396-6872
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MELINDA JURRIES
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Credential |
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Telephone | 616-396-5284
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 700003
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License Number State | MI
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