Great Lakes Recovery Centers, Inc in Iron River - Substance Abuse Rehabilitation Facility
Great Lakes Recovery Centers, Inc - NPI 1669641791
Great Lakes Recovery Centers, Inc is a Substance Abuse Rehabilitation Facility in Iron River, 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 1669641791. The last update date is 2008-02-22.
Great Lakes Recovery Centers, Inc's current location address is 620 N 4th Ave, Iron River, Michigan. You can contact this provider via phone number 9062659911 and fax number 9062659961. The mailing address for Great Lakes Recovery Centers, Inc is 620 N 4th Ave, Iron River, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Great Lakes Recovery Centers, Inc |
|---|---|
| Address | 620 N 4th Ave, Iron River, Michigan |
| Phone Number | 9062659911 |
| Fax Number | 9062659961 |
| 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 | 1669641791 |
|---|---|
| Provider Enumeration Date | 2008-02-22 |
| Last Updated Date | 2008-02-22 |
Provider Mailing Address Detail
| Address | 620 N 4th Ave |
|---|---|
| City | Iron River |
| State | Michigan (MI) |
| Post Code | 499351302 |
| Phone Number | 9062659911 |
| Fax Number | 9062659961 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
| Licence No | 360013 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3272541 | MI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Great Lakes Recovery Centers, Inc?
The Great Lakes Recovery Centers, Inc has been issued the NPI (National Provider Identifier) 1669641791 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Great Lakes Recovery Centers, Inc's facilities are situated?
The facilities of Great Lakes Recovery Centers, Inc are physically located at the following address: 620 N 4Th Ave, Iron River, MI, 499351302.
What is Great Lakes Recovery Centers, Inc's area of expertise and its corresponding taxonomy classification?
The Great Lakes Recovery Centers, Inc's field of specialization is Substance Abuse Rehabilitation Facility, and it falls under the taxonomy code 324500000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1669641791 to Great Lakes Recovery Centers, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1669641791 to Great Lakes Recovery Centers, Inc on 2008-02-22.
When was the information pertaining to Great Lakes Recovery Centers, Inc most recently updated or revised?
The details related to Great Lakes Recovery Centers, Inc, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-22.
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