Great Lakes Recovery Centers
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Negaunee, MI
NPI 1760626311 · NPPES record last updated Dec 5, 2025
Key facts
- NPI
- 1760626311
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- License
- 520072 (MI)
- Legal business name
- GREAT LAKES RECOVERY CENTERS
- Practice address
- 100 Malton Rd Ste 7&8
Negaunee, MI 49866-2001 - Phone
- (906) 485-2347
- Fax
- (906) 486-1150
- NPI assigned
- Apr 27, 2009
- Organization subpart
- Yes
- Parent organization (as reported)
- GREAT LAKES RECOVERY CENTERS, INC.
Authorized official
- Name
- Mr. Greg Miles Toutant, CEO
- Title
- Chief Executive Officer
- Phone
- (906) 228-9699
Other NPIs on the same Medicare enrollment 16
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101221000468 | MI | Part B Supplier - Clinic/Group Practice | 9133317936 |
Receives reassigned benefits from 6 practitioners 16 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: St Ignace, MI; Sault Ste Marie, MI; Iron Mountain, MI; Sault Sainte Marie, MI; Negaunee, MI; Munising, MI; Marquette, MI; L'Anse, MI… |
National Provider Directory
- Part of
- Great Lakes Recovery Centers
Locations
100 Malton Rd
Ste 78
Negaunee, MI 49866
Phone (906) 485-2347
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 520072 | MI | Yes |
Addresses
Primary practice location
100 Malton Rd Ste 7&8
Negaunee, MI 49866-2001
Mailing address
100 Malton Rd Ste 7&8
Negaunee, MI 49866-2001
Phone (906) 228-9699
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3272541 | Medicaid | MI |
Other providers in Negaunee, MI
- Great Lakes Recovery Centers
- Great Lakes Recovery Centers
- Great Lakes Recovery Centers
- Great Lakes Recovery Centers
- Great Lakes Recovery Centers
- Great Lakes Recovery Centers
- Amy Greeley
- Jaime Racine Green
- Michael S Grossman
- Shelley Lynn Haagsma
All providers in Negaunee, MI · Substance Use Disorder Rehabilitation Clinic/Center in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.