Great Lakes Recovery Centers

NPI #1174400170 in Marquette, Michigan

Provider Information

NPI Number: 1174400170
Entity Type: Organization
Organization Name: Great Lakes Recovery Centers
Primary Specialty: Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date: Aug 20, 2025
Last Updated: Dec 5, 2025

Practice Location

Address: 2058 VAN EVERA AVE
City: Marquette
State: Michigan
ZIP Code: 49855-1851
Phone: (906) 228-9699

Authorized Official

Name: WENDY KOSKI
Title: HR COORDINATOR
Phone: (906) 228-9699

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X	Primary

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DR. Miles P Light, MD	Clinic/Center - Rehabilitation, Substance Use Disorder	Saginaw	AI Deep Dive

Organizations

Provider Name	Specialty	City
Great Lakes Recovery Center	Clinic/Center - Rehabilitation, Substance Use Disorder	Marquette	AI Deep Dive
Great Lakes Recovery Centers Part of Great Lakes Recovery Centers, Inc.	Clinic/Center - Rehabilitation, Substance Use Disorder	Marquette	AI Deep Dive
Mid-Michigan Recovery Services, Inc.	Clinic/Center - Rehabilitation, Substance Use Disorder	Lansing	AI Deep Dive
Detroit East, INC	Clinic/Center - Rehabilitation, Substance Use Disorder	Detroit	AI Deep Dive

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