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A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Substance Abuse Disorder Rehabilitation Facility |
324500000X |
| NPI # | 1821267956 |
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| LBN Legal business name | GREAT LAKES RECOVERY CENTERS | ||||||||||||
| Authorized official | GREG TOUTANT - (CEO) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | Yes | ||||||||||||
| Enumeration date | 02/22/2008 | ||||||||||||
| Last updated | 12/05/2025 - About 6 months ago | ||||||||||||
| Identifiers |
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GREAT LAKES RECOVERY CENTERS
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| PAVANI GAI 5757 WHITMORE LAKE ROAD 48307, MI |
| WILLIAM E NOWAK, DO 3990 EAST M72 ACME, MI |
| THEBUOSHON AMALATHASAN, MD 15855 19 MILE RD, CLINTON TWP, MI 48038, USA 15855 19 MILE RD, CLINTON TWP, MI 48038,, MI |
| KIMBERLY S JOHNSON, MD 1105 SIXTH STREET 49684 TRAVERSE CITY, MI (GRAND TRAVERSE), MI |
| SARAH L FRACALA 2399 WALTON BVLD ABURN HILLS, MI |
GREAT LAKES RECOVERY CENTERS