Organization
GREAT LAKES ADDICTION RECOVERY SERVICES PLLC
Active
Organization
GREAT LAKES ADDICTION RECOVERY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN M JONES (BUSINESS MANAGER)
(517) 306-2244
Entity
Organization
Contact information
Practice address
142 E MAUMEE ST, ADRIAN, MI 49221-2735
(517) 306-2244
(866) 465-0269
Mailing address
142 E MAUMEE ST, ADRIAN, MI 49221-2735
(517) 306-2244
(866) 465-0269
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104719902
—
MI
Enumeration date
05/14/2020
Last updated
05/14/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up