Great Lakes Recovery Centers

LBN: Great Lakes Recovery Centers
Great Lakes Recovery Centers is an health care organization with primary practice located at 620 N 4Th Ave , Iron River MI 49935-1302. 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) 265-9911, or through Toutant, Gregory Miles via phone (906) 228-9699.

Contact Information

Primary practice address
620 N 4Th Ave Iron River MI 49935-1302
Phone: (906) 265-9911
Fax: (906) 265-9961
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 360013 Michigan

Profile Details

NPI number 1669641791
LBN Legal business name Great Lakes Recovery Centers
DBA Doing business as
Authorized official Toutant, Gregory Miles MS
Entity Organization
Organization subpart 1 No
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 1669641791 NPPES
Michigan MEDICAID 3272541

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