Great Lakes Recovery Centers
Clinic/Center, Rehabilitation, Substance Use Disorder in Negaunee, MI. Organization (NPI-2).
NPI number1104571900
StatusActive
Last updated in NPPESDec 5, 2025
Details
- NPI
- 1104571900
- Entity type
- Organization (NPI-2)
- Legal business name
- Great Lakes Recovery Centers
- Organization subpart
- No
- Enumeration date
- Feb 21, 2022
- Certification date
- Dec 5, 2025
- Last updated
- Dec 5, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | Yes |
| 103K00000X | Behavior Analyst | – | – |
Other names
- Negaunee Service Center (Other Name)
Practice location
100 Malton RdSuites 1, 2, 3, 4, 5, 6, 7, & 8
Negaunee, MI 49866
Phone 906-464-0002 · Fax 906-464-4043
Mailing address
100 Malton RdNegaunee, MI 49866-2001
Phone 906-228-9699 · Fax 906-228-0505
Authorized official
Greg Miles Toutant
Chief Executive Officer
9062289699
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