Organization
GREAT LAKES RECOVERY CENTERS
Active
Parent organization
GREAT LAKES RECOVERY CENTERS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREAT LAKES RECOVERY CENTERS, INC.
Authorized official
MR. GREG MILES TOUTANT CEO (CHIEF EXECUTIVE OFFICER)
(906) 228-9699
Entity
Organization
Contact information
Practice address
100 MALTON RD STE 7&8, NEGAUNEE, MI 49866-2001
(906) 485-2347
(906) 486-1150
Mailing address
100 MALTON RD STE 7&8, 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
Primary
520072
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3272541
—
MI
Enumeration date
04/27/2009
Last updated
12/05/2025
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