Organization
GREAT LAKES RECOVERY CENTERS
Active
Parent organization
GREAT LAKES RECOVERY CENTERS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREAT LAKES RECOVERY CENTERS, INC.
Authorized official
MR. GREGORY MILES TOUTANT MS (CHIEF EXECUTIVE OFFICER)
(906) 228-9699
Entity
Organization
Contact information
Practice address
1115 S HEMLOCK ST., SUITE 1, IRON MOUNTAIN, MI 49801
(906) 774-2561
(906) 774-2597
Mailing address
100 MALTON RD, NEGAUNEE, MI 49866-2001
(906) 228-9699
(906) 228-0505
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
220019
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3272541
—
MI
Enumeration date
02/22/2008
Last updated
12/05/2025
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