| Great Lakes Recovery Centers | |
|
3120 10th Street Suite 2 Menominee MI 49858 | |
| (906) 863-4153 | |
| (906) 863-4153 |
| Full Name | Great Lakes Recovery Centers |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3120 10th Street, Menominee, Michigan |
| Authorized Official Name and Position | Greg M. Toutant (CEO) |
| Authorized Official Contact | 9062289699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Recovery Centers 97 S 4th St Suite C Ishpeming MI 49849-2168 Ph: (906) 228-9699 | Great Lakes Recovery Centers 3120 10th Street Suite 2 Menominee MI 49858 Ph: (906) 863-4153 |
| NPI Number | 1922300714 |
|---|---|
| Provider Enumeration Date | 11/30/2010 |
| Last Update Date | 12/28/2023 |
| Certification Date | 12/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922300714 | NPI | - | NPPES |
| 3272541 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 550027 (Michigan) | Primary |
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