Organization
GREAT LAKES RECOVERY CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY MILES TOUTANT (CEO)
(906) 228-9699
Entity
Organization
Contact information
Practice address
100 MALTON RD STE 6, NEGAUNEE, MI 49866-2002
(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
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3272541
—
MI
Enumeration date
06/18/2014
Last updated
12/05/2025
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