Great Lakes Recovery Centers

LBN: Great Lakes Recovery Centers
Great Lakes Recovery Centers is an health care organization with primary practice located at 1115 S Hemlock St., Suite 1 , Iron Mountain MI 49801. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Great Lakes Recovery Centers can be contacted via phone (906) 774-2561, or through Toutant, Gregory Miles via phone (906) 228-9699.

Contact Information

Primary practice address
1115 S Hemlock St., Suite 1 Iron Mountain MI 49801
Phone: (906) 774-2561
Fax: (906) 774-2597
Website:
Map and Directions
Authorized official contact:
Name: Toutant, Gregory Miles MS
Phone: (906) 228-9699

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 220019 Michigan

Profile Details

NPI number 1215106349
LBN Legal business name Great Lakes Recovery Centers
DBA Doing business as
Authorized official Toutant, Gregory Miles MS
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 22nd, 2008
Last updated Dec 28th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215106349 NPPES
Michigan MEDICAID 3272541

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