GREAT LAKES RECOVERY CENTERS NPI 1104571900

NPI Information

  • NPI: 1104571900
  • Provider Name: GREAT LAKES RECOVERY CENTERS
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • :
  • CLIA Number: 23D2233462
  • Address: 100 MALTON RD
    SUITES 1, 2, 3, 4, 5, 6, 7, & 8
    NEGAUNEE, MI
    ZIP 49866
  • Phone: (906) 464-0002

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NPI Details

GREAT LAKES RECOVERY CENTERS is a rehabilitation and substance use disorder clinic center in Negaunee, MI. GREAT LAKES RECOVERY CENTERS NPI is 1104571900. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

100 MALTON RD
SUITES 1, 2, 3, 4, 5, 6, 7, & 8
NEGAUNEE, MI
ZIP 49866
Phone: (906) 464-0002
Fax: (906) 464-4043

The provider's authorized official is Greg Miles Toutant .
The authorized official title is Chief Executive Officer and has the following contact phone number (906) 228-9699.

The CLIA number assigned to this NPI record is 23D2233462 - other - behavioral health tx fac with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/21/2022 and was last updated on 2/18/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103K00000XBehavior AnalystNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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