GREAT LAKES RECOVERY CENTERS, INC.


Address: 220 Rooselvelt Street, Ironwood, MI 49938
Phone: 9063647506

GREAT LAKES RECOVERY CENTERS, INC. (NPI# 1821267956) 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) 1821267956
Entity Type Organization
Organization Name GREAT LAKES RECOVERY CENTERS, INC.
Practice Address 220 Rooselvelt Street
Ironwood
MI 49938
Mailing Address 97 S 4th St
Suite C
Ishpeming
MI 49849-2168
Practice Telephone 9063647506
Practice Fax Number 9063647508
Mailing Telephone 9062289699
Mailing Fax Number 9062280505
Enumeration Date 2008-02-22
Last Update Date 2014-06-25
Authorized Official Name GREG TOUTANT (CEO)
Authorized Official Telephone 9062289699
Is Organization Subpart Y
Parent Organization Name GREAT LAKES RECOVERY CENTERS, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 324500000X Substance Abuse Rehabilitation Facility 270032 MI Residential Treatment Facilities
Y 324500000X Substance Abuse Rehabilitation Facility MI00719 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
1669899241 Great Lakes Recovery Centers, Inc. Substance Abuse Rehabilitation Facility 104 Malton Road, Negaunee, MI 49866 2014-03-21
1922300714 Great Lakes Recovery Centers, Inc. Community/Behavioral Health 3120 10th Street, Suite 2, Menominee, MI 49858 2010-11-30
1619202447 Great Lakes Recovery Centers, Inc. Substance Abuse Rehabilitation Facility 413 Maple Street, Suite 2, Munising, MI 49862 2009-10-13
1902131733 Great Lakes Recovery Centers, Inc. Substance Abuse Rehabilitation Facility 396 N. State Street, 4th Floor, St. Ignace, MI 49781 2009-10-13
1629303441 Great Lakes Recovery Centers, Inc. Substance Abuse Rehabilitation Facility 601 Lakeshore Drive, Suite 101, Manistique, MI 49854 2009-10-13
1679714083 Great Lakes Recovery Centers, Inc. Clinic/Center 1401 N. 26th Street, Suite 109, Escanaba, MI 49801 2009-03-13
1679742597 Great Lakes Recovery Centers, Inc. Substance Abuse Rehabilitation Facility 2655 Ashmun St., Sault Ste. Marie, MI 49783 2008-02-25
1932378858 Great Lakes Recovery Centers, Inc. Clinic/Center 241 Wright Street, Marquette, MI 49855 2008-02-25
1801065925 Great Lakes Recovery Centers, Inc. Substance Abuse Rehabilitation Facility 301 E Spruce St, Sault Sainte Marie, MI 49783-2134 2008-02-22
1215106349 Great Lakes Recovery Centers, Inc. Substance Abuse Rehabilitation Facility 427 S. Stephenson Avenue, Suite 214, Iron Mountain, MI 49938 2008-02-22

Office Location

Street Address 220 ROOSELVELT STREET
City IRONWOOD
State MI
Zip Code 49938

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891319661 Jonathon Rulseh Physical Therapy Assistant 10561 Grandview Ln, Ironwood, MI 49938 2020-06-08
1295107704 Susanna Lee Harris Counselor 220 Roosevelt St, Ironwood, MI 49938 2015-10-22
1609214600 Eve J. Komosa Physician Assistant N. 10561 Grand View Lane, Aspirus Grand View, Ironwood, MI 49938 2013-06-12
1255629861 Tatyana G Bombard Radiology Aspirus Ironwood Hospital, N10561 Grand View Lane, Ironwood, MI 49938 2011-07-17
1205140761 Allison Harr Advanced Practice Midwife N 10565 Grandview Lane, Ironwood, MI 49938 2010-07-27
1215106349 Great Lakes Recovery Centers, Inc. Substance Abuse Rehabilitation Facility 427 S. Stephenson Avenue, Suite 214, Iron Mountain, MI 49938 2008-02-22
1740466176 Wal-mart Stores East Lp Durable Medical Equipment & Medical Supplies 10305 Country Club Road, Ironwood, MI 49938 2008-01-16
1396811121 Rebecca Lynn Mika Occupational Therapist 1310 E Cloverland Dr, Ironwood, MI 49938 2006-11-24
1306940432 Marsha Miller Toohey Chiropractor 129 E Ayer St, Ironwood, MI 49938 2006-09-11
1326091406 Sheri L Ewing Family Medicine 629 W Cloverland Dr Ste 1, Ironwood, MI 49938 2006-05-18
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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
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Competitor

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City IRONWOOD
Zip Code 49938

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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.

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