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GREAT LAKES RECOVERY CENTERS
NPI 1174400170
Clinic/Center - Rehabilitation, Substance Use Disorder in Marquette, MI

Active since August 20, 2025
2058 VAN EVERA AVE, MARQUETTE, MI 49855(906) 228-9699(906) 228-0505 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Great Lakes Recovery Centers NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT LAKES RECOVERY CENTERS (NPI 1174400170) is a healthcare organization registered as a rehabilitation, substance use disorder in Marquette, Michigan and active in the NPI registry since August 2025. The organization lists Wendy Koski, Hr Coordinator, as its authorized official.

NPPES Registry Identity

NPI1174400170
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameGREAT LAKES RECOVERY CENTERS
Location Address2058 VAN EVERA AVEMarquette, MI 49855-1851
Mailing Address100 Malton RdNegaunee, MI 49866-2001 · (906) 228-9699 · Fax (906) 228-0505
Phone(906) 228-9699
Fax(906) 228-0505
Organization SubpartNo
Authorized OfficialWendy KoskiHr Coordinator · (906) 228-9699
Enumeration DateAugust 20, 2025
Last NPPES UpdateDecember 5, 2025
NPPES CertifiedDecember 5, 2025
✔ NPI 1174400170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
2058 VAN EVERA AVE, Marquette, MI 49855
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Other Names 1

Other NameVan Evera

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Lakes Recovery Centers's NPI number?

The NPI number for Great Lakes Recovery Centers is 1174400170. It was assigned to this organization in the NPPES registry on August 20, 2025. The provider is also known as Van Evera.

Where is Great Lakes Recovery Centers located?

Great Lakes Recovery Centers is located at 2058 Van Evera Ave, Marquette, MI 49855. The listed phone number is (906) 228-9699.

What is Great Lakes Recovery Centers's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Great Lakes Recovery Centers was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.