Great Lakes Recovery Centers, Inc. in Ironwood - Substance Abuse Rehabilitation Facility
Great Lakes Recovery Centers, Inc. - NPI 1821267956
Great Lakes Recovery Centers, Inc. is a Substance Abuse Rehabilitation Facility in Ironwood, 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 1821267956. The last update date is 2014-06-25.
Great Lakes Recovery Centers, Inc.'s current location address is 220 Rooselvelt Street, Ironwood, Michigan. You can contact this provider via phone number 9063647506 and fax number 9063647508. The mailing address for Great Lakes Recovery Centers, Inc. is 220 Rooselvelt Street, Ironwood, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Great Lakes Recovery Centers, Inc. |
|---|---|
| Address | 220 Rooselvelt Street, Ironwood, Michigan |
| Phone Number | 9063647506 |
| Fax Number | 9063647508 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Toutant Greg |
| Telephone Number | 9062289699 |
NPI Number Detail
| NPI Number | 1821267956 |
|---|---|
| Provider Enumeration Date | 2008-02-22 |
| Last Updated Date | 2014-06-25 |
Provider Mailing Address Detail
| Address | 220 Rooselvelt Street |
|---|---|
| City | Ironwood |
| State | Michigan (MI) |
| Post Code | 49938 |
| Phone Number | 9063647506 |
| Fax Number | 9063647508 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
| Licence No | 270032 |
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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 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) 1821267956. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Great Lakes Recovery Centers, Inc. is geographically located?
The Great Lakes Recovery Centers, Inc. is physically situated at the following location: 220 Rooselvelt Street, Ironwood, MI, 49938.
What is Great Lakes Recovery Centers, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Great Lakes Recovery Centers, Inc. is Substance Abuse Rehabilitation Facility, and the taxonomy code that categorizes this field of expertise is 324500000X.
On what date did Great Lakes Recovery Centers, Inc. receive its 1821267956 assignment from the Centers for Medicare & Medicaid Services?
The Great Lakes Recovery Centers, Inc. was assigned its 1821267956 on 2008-02-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Great Lakes Recovery Centers, Inc.'s information last updated?
The Great Lakes Recovery Centers, Inc.'s information was last updated on 2014-06-25.