GREAT LAKES RECOVERY CENTERS, INC. (NPI# 1679742597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679742597 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES RECOVERY CENTERS, INC. |
| Practice Address |
2655 Ashmun St. Sault Ste. Marie MI 49783 |
| Mailing Address |
97 South 4th Street Suite C Ishpeming MI 49849-2168 |
| Practice Telephone | 9066329809 |
| Practice Fax Number | 9066322780 |
| Mailing Telephone | 9062289699 |
| Mailing Fax Number | 9062280505 |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2014-06-24 |
| Authorized Official Name | MR. GREG MILES TOUTANT (GREG TOUTANT) |
| Authorized Official Telephone | 9062289699 |
| Authorized Official Credential | MS |
| Is Organization Subpart | Y |
| Parent Organization Name | GREAT LAKES RECOVERY CENTERS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 170028 | MI | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3272541 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669899241 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 104 Malton Road, Negaunee, MI 49866 | 2014-03-21 |
| 1922300714 | Great Lakes Recovery Centers, Inc. | Community/Behavioral Health | 3120 10th Street, Suite 2, Menominee, MI 49858 | 2010-11-30 |
| 1619202447 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 413 Maple Street, Suite 2, Munising, MI 49862 | 2009-10-13 |
| 1902131733 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 396 N. State Street, 4th Floor, St. Ignace, MI 49781 | 2009-10-13 |
| 1629303441 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 601 Lakeshore Drive, Suite 101, Manistique, MI 49854 | 2009-10-13 |
| 1679714083 | Great Lakes Recovery Centers, Inc. | Clinic/Center | 1401 N. 26th Street, Suite 109, Escanaba, MI 49801 | 2009-03-13 |
| 1932378858 | Great Lakes Recovery Centers, Inc. | Clinic/Center | 241 Wright Street, Marquette, MI 49855 | 2008-02-25 |
| 1801065925 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 301 E Spruce St, Sault Sainte Marie, MI 49783-2134 | 2008-02-22 |
| 1821267956 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 220 Rooselvelt Street, Ironwood, MI 49938 | 2008-02-22 |
| 1215106349 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 427 S. Stephenson Avenue, Suite 214, Iron Mountain, MI 49938 | 2008-02-22 |
| Street Address |
2655 ASHMUN ST. |
| City | SAULT STE. MARIE |
| State | MI |
| Zip Code | 49783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215541305 | Kevin P Cooper Dds PC | Dentist | 202 Brady Street, Sault Sainte Marie, MI 49783 | 2020-09-04 |
| 1033767512 | Louis William Bergman | Pharmacist | 3763 75 Business Spur, Sault Ste Marie, MI 49783 | 2019-08-28 |
| 1972076818 | Phyllis Mary Robertson | Speech-Language Pathologist | 2472 Ashmun Street, War Memorial Hospital Rehabilitation Centre, Sault Sainte Marie, MI 49783 | 2019-01-03 |
| 1831611748 | Thomas Matthew Choponis | Optometrist | 128 W Spruce St Ste 1, Sault Sainte Marie, MI 49783 | 2017-07-12 |
| 1730633223 | Holly D Statt | Dental Hygienist | 905 Marquette Ave, Sault Sainte Marie, MI 49783 | 2016-08-12 |
| 1316306590 | Debra Joyce Peake | Social Worker | 3865 South Mackinac Trail, Sault Ste Marie, MI 49783 | 2016-02-17 |
| 1629465935 | Jodi Johnson | Occupational Therapy Assistant | 1011 Merridian St, Sault Saint Marie, MI 49783 | 2015-04-24 |
| 1972885606 | Elizabeth Hayes | Social Worker | 3865 S Mackinac Trail, Sault Ste Marie, MI 49783 | 2011-09-20 |
| 1922252618 | Denise L. Montgomery | Registered Nurse | 500 Osborn Blvd., Sault Ste Marie, MI 49783 | 2008-11-08 |
| 1487829826 | Melanie A Cook | Eyewear Supplier (Equipment, not the service) | 1908 Ashman Street, Sault Ste Marie, MI 49783 | 2008-04-28 |
| Find all providers in zip 49783 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| 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. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063810 | Nc Recovery House LLC | Substance Abuse Rehabilitation Facility | 777 Colfax Ave, Benton Harbor, MI 49022-7406 | 2020-05-06 |
| 1235789074 | Green Castle Recovery Centers, LLC. | Substance Abuse Rehabilitation Facility | 233 Fulton St E Ste 101, Grand Rapids, MI 49503-3262 | 2019-09-13 |
| 1043773047 | New Paths, Inc. | Substance Abuse Rehabilitation Facility | 909 Martin Luther King Ave, Flint, MI 48503-1488 | 2019-04-08 |
| 1831651330 | Bethany House Recovery House | Substance Abuse Rehabilitation Facility | 722 S Rose St, Kalamazoo, MI 49007-5216 | 2019-04-03 |
| 1639631138 | Hope House Recovery House | Substance Abuse Rehabilitation Facility | 131 S Nottawa St, Sturgis, MI 49091-1736 | 2019-04-03 |
| 1811459324 | Healing House | Substance Abuse Rehabilitation Facility | 721 S Rose St Apt B, Kalamazoo, MI 49007-6200 | 2019-04-03 |
| 1669932109 | Inner Man Wellness and Support Services | Substance Abuse Rehabilitation Facility | 4890 Ballantrae Rd, Bloomfield, MI 48301-1000 | 2019-03-21 |
| 1528526266 | Mid-michigan Recovery Center | Substance Abuse Rehabilitation Facility | 3821 N Grant Ave, Harrison, MI 48625-9606 | 2019-03-12 |
| 1316410681 | The Light Treatment & Rehabilitation LLC | Substance Abuse Rehabilitation Facility | 5380 Kreger St, Sterling Heights, MI 48310-5728 | 2019-01-09 |
| 1306321179 | Yarrow Lodge, LLC | Substance Abuse Rehabilitation Facility | 10677 N 48th Street, Augusta, MI 49012 | 2018-09-27 |
| Find all providers with the same taxonomy | ||||
| City | SAULT STE. MARIE |
| Zip Code | 49783 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.