Organization
GREAT LAKES RECOVERY CENTERS
Active
Other names
Van Evera
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY KOSKI (HR COORDINATOR)
(906) 228-9699
Entity
Organization
Contact information
Practice address
2058 VAN EVERA AVE, MARQUETTE, MI 49855-1851
(906) 228-9699
(906) 228-0505
Mailing address
100 MALTON RD, NEGAUNEE, MI 49866-2001
(906) 228-9699
(906) 228-0505
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/20/2025
Last updated
12/05/2025
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