Escanaba Outpatient

LBN: Great Lakes Recovery Centers
Escanaba Outpatient is an health care organization with primary practice located at 1101 Ludington St. Suite H , Escanaba MI 49829. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Great Lakes Recovery Centers can be contacted via phone (906) 789-3528, or through Toutant, Greg M via phone (906) 228-9699.

Contact Information

Primary practice address
1101 Ludington St. Suite H Escanaba MI 49829
Phone: (906) 789-3528
Fax: (906) 786-9801
Website:
Map and Directions
Authorized official contact:
Name: Toutant, Greg M
Phone: (906) 228-9699

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 210024 Michigan

Profile Details

NPI number 1679714083
LBN Legal business name Great Lakes Recovery Centers
DBA Doing business as Escanaba Outpatient
Authorized official Toutant, Greg M
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 13th, 2009
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 1679714083 NPPES
Michigan MEDICAID 3272541

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