GREAT LAKES RECOVERY CENTERS, INC


Address: 620 N 4th Ave, Iron River, MI 49935-1302
Phone: 9062659911

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility 360013 MI Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MI 3272541 05

Other Provider IDs and Locations

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

Office Location

Street Address 620 N 4TH AVE
City IRON RIVER
State MI
Zip Code 49935-1302

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437509205 Linda Wercinski Counselor 620 N 4th Ave, Iron River, MI 49935-1302 2016-06-13

Providers in the same zip code

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 Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

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]

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City IRON RIVER
Zip Code 49935

Improve Information

Please comment or provide details below to improve the information on GREAT LAKES RECOVERY CENTERS, INC.

Dataset Information

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.

Trending Searches