Teal Lake Women'S Residential
LBN: Great Lakes Recovery Centers
Teal Lake Women'S Residential is an health care organization with primary practice located at 241 Wright Street , Marquette MI 49855. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty.
Great Lakes Recovery Centers can be contacted via phone (906) 228-7611, or through Hamilton, Kary A via phone (906) 228-9699.
Contact Information
Primary practice address
241 Wright Street
Marquette MI 49855
Phone: (906) 228-7611
Fax: (906) 228-8156
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X |
Profile Details
| NPI number | 1932378858 |
|---|---|
| LBN Legal business name | Great Lakes Recovery Centers |
| DBA Doing business as | Teal Lake Women'S Residential |
| Authorized official | Hamilton, Kary A |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932378858 | NPPES |
| Michigan | MEDICAID | 3272541 |
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