Organization
GREAT LAKES RECOVERY CENTERS
Active
Parent organization
GREAT LAKES RECOVERY CENTERS, INC.
Other names
Escanaba Outpatient
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREAT LAKES RECOVERY CENTERS, INC.
Authorized official
MR. GREG M TOUTANT (CHIEF EXECUTIVE OFFICER)
(906) 228-9699
Entity
Organization
Contact information
Practice address
1101 LUDINGTON ST. SUITE H, ESCANABA, MI 49829
(906) 789-3528
(906) 786-9801
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
210024
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3272541
—
MI
Enumeration date
03/13/2009
Last updated
12/05/2025
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