NPI:
1790558286
Provider Name:
GREAT LAKES RECOVERY CENTERS
Doing Business As: TEAL LAKE WOMEN'S RESIDENTIAL
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
CLIA Number: 23D2201198
Address:
100 MALTON RD STE 1
NEGAUNEE, MI
ZIP 49866
Phone:
(906) 451-4889
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GREAT LAKES RECOVERY CENTERS is a rehabilitation and substance use disorder clinic center in Negaunee, MI. GREAT LAKES RECOVERY CENTERS NPI is 1790558286. The provider is registered as an organization entity type.
The provider Is Doing Business As Teal Lake Women's Residential.
The provider's business location address is:
100 MALTON RD STE 1
NEGAUNEE, MI
ZIP 49866-002
Phone: (906) 451-4889
Fax: (906) 228-8156
The provider's authorized official is Laura Urias Giuchin .
The authorized official title is Senior Accountant and has the following contact phone number (906) 228-9699.
The CLIA number assigned to this NPI record is 23D2201198 - assisted living facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/6/2023 and was last updated on 12/28/2023.