Organization
GREAT LAKES RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY MILES TOUTANT MS (CEO)
(906) 228-9696
Entity
Organization
Contact information
Practice address
241 WRIGHT ST, MARQUETTE, MI 49855-1955
(906) 228-6545
Mailing address
100 MALTON RD, NEGAUNEE, MI 49866-2001
(906) 228-9699
(906) 228-0505
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
6801098960
MI
Other
Enumeration date
01/08/2016
Last updated
12/05/2025
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