Organization
GREAT LAKES RECOVERY CENTERS
Active
Parent organization
GREAT LAKES RECOVERY CENTERS, INC
Other names
Teal Lake Women's Residential
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREAT LAKES RECOVERY CENTERS, INC
Authorized official
LAURA URIAS GIUCHIN (SENIOR ACCOUNTANT)
(906) 228-9699
Entity
Organization
Contact information
Practice address
100 MALTON RD STE 1, NEGAUNEE, MI 49866-2002
(906) 451-4889
(906) 228-8156
Mailing address
100 MALTON RD, NEGAUNEE, MI 49866-2001
(906) 228-9699
(888) 977-2109
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3272541
—
MI
Enumeration date
11/06/2023
Last updated
12/05/2025
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