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Contact Information

GREAT LAKES RECOVERY CENTERS
1101 LUDINGTON ST. SUITE H
ESCANABA, MI49829
 Phone: 906-789-3528
 Fax: 906-786-9801
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation, Substance Use Disorder

261QR0405X
Indicates primary specialty

NPI Profile & details for GREAT LAKES RECOVERY CENTERS

NPI Number 1679714083
LBN Legal business name GREAT LAKES RECOVERY CENTERS
Authorized official GREG TOUTANT - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/13/2009
Last updated 12/05/2025 - About 6 months ago
Identifiers
MI License # 210024
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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