Great Lakes Recovery Centers, Inc in Sault Sainte Marie - Substance Abuse Rehabilitation Facility
Great Lakes Recovery Centers, Inc - NPI 1588833404
Great Lakes Recovery Centers, Inc is a Substance Abuse Rehabilitation Facility in Sault Sainte Marie, 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 1588833404. The last update date is 2019-05-03.
Great Lakes Recovery Centers, Inc's current location address is 2655 Ashmun St, Sault Sainte Marie, Michigan. You can contact this provider via phone number 9066329809 and fax number 9066322370. The mailing address for Great Lakes Recovery Centers, Inc is 2655 Ashmun St, Sault Sainte Marie, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Great Lakes Recovery Centers, Inc |
|---|---|
| Address | 2655 Ashmun St, Sault Sainte Marie, Michigan |
| Phone Number | 9066329809 |
| Fax Number | 9066322370 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Toutant Miles Gregory |
| Credentials | MS |
| Telephone Number | 9062289699 |
NPI Number Detail
| NPI Number | 1588833404 |
|---|---|
| Provider Enumeration Date | 2008-02-25 |
| Last Updated Date | 2019-05-03 |
Provider Mailing Address Detail
| Address | 2655 Ashmun St |
|---|---|
| City | Sault Sainte Marie |
| State | Michigan (MI) |
| Post Code | 497833711 |
| Phone Number | 9066329809 |
| Fax Number | 9066322370 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
| Licence No | 170045 |
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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 assigned to Great Lakes Recovery Centers, Inc by the Centers for Medicare & Medicaid Services?
The Great Lakes Recovery Centers, Inc has been issued the NPI (National Provider Identifier) 1588833404, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Great Lakes Recovery Centers, Inc located?
The Great Lakes Recovery Centers, Inc is located at 2655 Ashmun St, Sault Sainte Marie, MI 497833711.
What is Great Lakes Recovery Centers, Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Great Lakes Recovery Centers, Inc is Substance Abuse Rehabilitation Facility, and the taxonomy classification code that categorizes this area of expertise is 324500000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1588833404 to Great Lakes Recovery Centers, Inc?
The Great Lakes Recovery Centers, Inc received its 1588833404 assignment from the Centers for Medicare & Medicaid Services on 2008-02-25.
As of what date were the Great Lakes Recovery Centers, Inc's details last updated?
The information pertaining to the Great Lakes Recovery Centers, Inc, including its address, specialty, and other details, was most recently updated on 2019-05-03.
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