Organization
GREAT LAKES RECOVERY CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY MILES TOUTANT MS (EXECUTIVE DIRECTOR)
(906) 228-9699
Entity
Organization
Contact information
Practice address
620 N 4TH AVE, IRON RIVER, MI 49935-1302
(906) 265-9911
(906) 265-9961
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
360013
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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