Great Lakes Recovery Centers, Inc. in Iron Mountain - Substance Abuse Rehabilitation Facility
Great Lakes Recovery Centers, Inc. - NPI 1215106349
Great Lakes Recovery Centers, Inc. is a Substance Abuse Rehabilitation Facility in Iron Mountain, Michigan. Great Lakes Recovery Centers, Inc. practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Great Lakes Recovery Centers, Inc. is 1215106349. The last update date is 2021-10-29.
Great Lakes Recovery Centers, Inc.'s current location address is 1115 S Hemlock St., Suite 1, Iron Mountain, Michigan. You can contact this provider via phone number 9067742561 and fax number 9067742597. The mailing address for Great Lakes Recovery Centers, Inc. is 1115 S Hemlock St., Suite 1, Iron Mountain, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Great Lakes Recovery Centers, Inc. |
|---|---|
| Address | 1115 S Hemlock St., Suite 1, Iron Mountain, Michigan |
| Phone Number | 9067742561 |
| Fax Number | 9067742597 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Toutant Miles Gregory |
| Credentials | MS |
| Telephone Number | 9062289699 |
NPI Number Detail
| NPI Number | 1215106349 |
|---|---|
| Provider Enumeration Date | 2008-02-22 |
| Last Updated Date | 2021-10-29 |
Provider Mailing Address Detail
| Address | 1115 S Hemlock St., Suite 1 |
|---|---|
| City | Iron Mountain |
| State | Michigan (MI) |
| Post Code | 49801 |
| Phone Number | 9067742561 |
| Fax Number | 9067742597 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
| Licence No | 220019 |
|
Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3272541 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Great Lakes Recovery Centers, Inc. by the Centers for Medicare & Medicaid Services?
The Great Lakes Recovery Centers, Inc. has been assigned the NPI (National Provider Identifier) 1215106349 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Great Lakes Recovery Centers, Inc.'s facilities are geographically located?
The facilities of Great Lakes Recovery Centers, Inc. are physically situated at the following location: 1115 S Hemlock St., Suite 1, Iron Mountain, MI, 49801.
What is Great Lakes Recovery Centers, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Great Lakes Recovery Centers, Inc.'s area of specialization is Substance Abuse Rehabilitation Facility, and the corresponding taxonomy code that categorizes this field of practice is 324500000X.
On what date did the Great Lakes Recovery Centers, Inc. receive its 1215106349 assignment from the Centers for Medicare & Medicaid Services?
The Great Lakes Recovery Centers, Inc. was assigned its 1215106349 by the Centers for Medicare & Medicaid Services on 2008-02-22.
As of what date were the details pertaining to Great Lakes Recovery Centers, Inc. last refreshed?
The information related to the Great Lakes Recovery Centers, Inc., including its address, specialty, and other relevant details, was last updated on 2021-10-29.
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