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Contact Information

GREAT LAKES RECOVERY CENTERS
3120 10TH STREET
SUITE 2
MENOMINEE, MI49858
 Phone: 906-863-4153
 Fax: 906-863-4153
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for GREAT LAKES RECOVERY CENTERS

NPI # 1922300714
LBN Legal business name GREAT LAKES RECOVERY CENTERS
Authorized official GREG TOUTANT - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/30/2010
Last updated 12/05/2025 - About 6 months ago
Identifiers
MI License # 550027
MI Medicaid 3272541
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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