GREAT LAKES RECOVERY CENTERS, INC (NPI# 1669641791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669641791 |
Entity Type | Organization |
Organization Name | GREAT LAKES RECOVERY CENTERS, INC |
Practice Address |
620 N 4th Ave Iron River MI 49935-1302 |
Mailing Address |
201 Rublein St Ste A Marquette MI 49855-4060 |
Practice Telephone | 9062659911 |
Practice Fax Number | 9062659961 |
Mailing Telephone | 9062289699 |
Mailing Fax Number | 9062280505 |
Enumeration Date | 2008-02-22 |
Last Update Date | 2008-02-22 |
Authorized Official Name | MR. GREGORY MILES TOUTANT (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 9062289699 |
Authorized Official Credential | MS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | 360013 | MI | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 3272541 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588833404 | Great Lakes Recovery Centers, Inc | Substance Abuse Rehabilitation Facility | 2655 Ashmun St, Sault Sainte Marie, MI 49783-3711 | 2008-02-25 |
Street Address |
620 N 4TH AVE |
City | IRON RIVER |
State | MI |
Zip Code | 49935-1302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437509205 | Linda Wercinski | Counselor | 620 N 4th Ave, Iron River, MI 49935-1302 | 2016-06-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457865198 | Aspirus Iron River Hospital & Clinics, Inc. | Clinic/Center | 814 South Ice Lake Road, Iron River, MI 49935 | 2017-11-16 |
1659807808 | Shannon Koski | Specialist/Technologist | 1800 N Verona Ave, Iron River, MI 49935 | 2017-05-10 |
1912166166 | Rk Atanasoff Od PC | Optometrist | 131 W Genesee St, Iron River, MI 49935 | 2008-06-03 |
1215102272 | Aspirus Iron River Hospital & Clinics, Inc. | Pathology | 1400 West Ice Lake Road, Iron River, MI 49935 | 2008-04-29 |
1164620555 | Mary Jo Rohde | Social Worker | 1201 Stambough Ave, Iron River, MI 49935 | 2007-07-06 |
1861693848 | Michael Wallace Varney | Psychologist | 217 North 10th Avenue, Iron River, MI 49935 | 2007-05-29 |
1962616623 | Advanced Care Smile Center Inc | Dentist | 528 N 1st Avenue, Iron River, MI 49935 | 2007-05-10 |
1376551788 | Raymond Krist Atanasoff | Optometrist | 131 W Genesee Street, Iron River, MI 49935 | 2006-08-03 |
1205873510 | Raymond J Meyers | Nurse Anesthetist, Certified Registered | 1400 Ice Lake Rd., Iron River, MI 49935 | 2006-06-02 |
1497750830 | Aspirus Iron River Hospital & Clinics, Inc. | General Acute Care Hospital | 1400 W Ice Lake Rd, Iron River, MI 49935 | 2005-06-14 |
Find all providers in zip 49935 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366063810 | Nc Recovery House LLC | Substance Abuse Rehabilitation Facility | 777 Colfax Ave, Benton Harbor, MI 49022-7406 | 2020-05-06 |
1235789074 | Green Castle Recovery Centers, LLC. | Substance Abuse Rehabilitation Facility | 233 Fulton St E Ste 101, Grand Rapids, MI 49503-3262 | 2019-09-13 |
1043773047 | New Paths, Inc. | Substance Abuse Rehabilitation Facility | 909 Martin Luther King Ave, Flint, MI 48503-1488 | 2019-04-08 |
1831651330 | Bethany House Recovery House | Substance Abuse Rehabilitation Facility | 722 S Rose St, Kalamazoo, MI 49007-5216 | 2019-04-03 |
1639631138 | Hope House Recovery House | Substance Abuse Rehabilitation Facility | 131 S Nottawa St, Sturgis, MI 49091-1736 | 2019-04-03 |
1811459324 | Healing House | Substance Abuse Rehabilitation Facility | 721 S Rose St Apt B, Kalamazoo, MI 49007-6200 | 2019-04-03 |
1669932109 | Inner Man Wellness and Support Services | Substance Abuse Rehabilitation Facility | 4890 Ballantrae Rd, Bloomfield, MI 48301-1000 | 2019-03-21 |
1528526266 | Mid-michigan Recovery Center | Substance Abuse Rehabilitation Facility | 3821 N Grant Ave, Harrison, MI 48625-9606 | 2019-03-12 |
1316410681 | The Light Treatment & Rehabilitation LLC | Substance Abuse Rehabilitation Facility | 5380 Kreger St, Sterling Heights, MI 48310-5728 | 2019-01-09 |
1306321179 | Yarrow Lodge, LLC | Substance Abuse Rehabilitation Facility | 10677 N 48th Street, Augusta, MI 49012 | 2018-09-27 |
Find all providers with the same taxonomy |
City | IRON RIVER |
Zip Code | 49935 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.