Great Lakes Foundation Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

GREAT LAKES FOUNDATION INC

Practice address

65 N Pottebaum Rd
Casa Grande, AZ 85122-5326

Phone

(602) 769-2142

NPI assigned

May 9, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Steven Of Follmer

Title

Director

Phone

(602) 769-2142

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1778284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778284800000",
    "number": "1053249284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 N POTTEBAUM RD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225326",
            "telephone_number": "602-769-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 N POTTEBAUM RD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225326",
            "telephone_number": "602-769-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-09",
        "last_updated": "2026-05-09",
        "certification_date": "2026-05-09",
        "status": "A",
        "authorized_official_last_name": "FOLLMER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "OF",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-769-2142"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aylin Shantel Gonzalez
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• Nicholas Lee Greathouse, NP
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• Namninder S GRN, DMD

• Substance Abuse Rehabilitation Facility in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.