GREAT LAKES RECOVERY CENTERS NPI 1609537299

NPI Information

  • NPI: 1609537299
  • Provider Name: GREAT LAKES RECOVERY CENTERS
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Other Name: JOHN KIVELA RECOVERY RESIDENCE
  • Address: 1718 PRESQUE ISLE AVE.
    MARQUETTE, MI
    ZIP 49855
  • Phone: (906) 205-0125

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NPI Details

GREAT LAKES RECOVERY CENTERS is a substance abuse rehabilitation facility in Marquette, MI. The provider is 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. GREAT LAKES RECOVERY CENTERS NPI is 1609537299. The provider is registered as an organization entity type.
The provider Other Name Is John Kivela Recovery Residence.

The provider's business location address is:

1718 PRESQUE ISLE AVE.
MARQUETTE, MI
ZIP 49855
Phone: (906) 205-0125
Fax: (906) 553-6029

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

The enumeration date for this NPI number is 1/5/2022 and was last updated on 11/4/2024.

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
1324500000XSubstance Abuse Rehabilitation FacilityYes

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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