OrganizationActive
Great Lakes Recovery Centers
NPI 1174400170 · Substance Use Disorder Rehabilitation Clinic/Center · Marquette, MI
Provider details
- NPI number
- 1174400170
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Wendy Koski, Hr Coordinator(906) 228-9699
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
2058 Van Evera Ave
Marquette, MI 49855-1851
Phone: (906) 228-9699
Fax: (906) 228-0505
Approximate (ZIP-level) locationGet directions
Mailing address
100 Malton Rd
Negaunee, MI 49866-2001
Other names (DBA / former)
- Other name
- Van Evera
Registry dates
- Enumerated
- 2025-08-20
- Last updated
- 2025-12-05
- Certified
- 2025-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.