GREAT LAKES RECOVERY CENTERS NPI 1629303441

NPI Information

  • NPI: 1629303441
  • Provider Name: GREAT LAKES RECOVERY CENTERS
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Address: 601 LAKESHORE DRIVE
    SUITE 101
    MANISTIQUE, MI
    ZIP 49854
  • Phone: (906) 341-2244

Map and Directions

Get Directions

NPI Details

GREAT LAKES RECOVERY CENTERS is a substance abuse rehabilitation facility in Manistique, 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 1629303441. The provider is registered as an organization entity type.

The provider's business location address is:

601 LAKESHORE DRIVE
SUITE 101
MANISTIQUE, MI
ZIP 49854
Phone: (906) 341-2244
Fax: (906) 341-2250

The provider's authorized official is Greg 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 10/13/2009 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
1324500000XSubstance Abuse Rehabilitation Facility770019MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13272541MEDICAIDMICHIGAN

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI