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WALLOON LAKE RECOVERY LODGE, LLC
NPI 1861898918
Substance Abuse Rehabilitation Facility in Boyne Falls, MI

Active since November 17, 2014
2594 SPRINGVALE RD, BOYNE FALLS, MI 49713(231) 535-2415 Get Directions Write a Review

NPPES record last updated: November 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Walloon Lake Recovery Lodge, Llc NPPES

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

WALLOON LAKE RECOVERY LODGE, LLC (NPI 1861898918) is a healthcare organization registered as a substance abuse rehabilitation facility in Boyne Falls, Michigan and active in the NPI registry since November 2014. The organization lists Martin J Gitre, Member, as its authorized official.

NPPES Registry Identity

NPI1861898918
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameWALLOON LAKE RECOVERY LODGE, LLC
Location Address2594 SPRINGVALE RDBoyne Falls, MI 49713
Mailing Address2594 Springvale RoadBoyne Falls, MI 49713 · (231) 535-2415
Phone(231) 535-2415
Organization SubpartNo
Authorized OfficialMartin J GitreMember · (248) 763-0863
Enumeration DateNovember 17, 2014
✔ NPI 1861898918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in MI · L183579
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
2594 SPRINGVALE RD, Boyne Falls, MI 49713
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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXIS RUSHING CADC-DP
Counselor (Addiction (Substance Use Disorder))
2594 SPRINGVALE RD
BOYNE FALLS, MI 49713
Charlevoix County (231) 535-2822
MRS. GENEVIEVE CAROL GROOVER LLMSW
Social Worker
2594 SPRINGVALE RD
BOYNE FALLS, MI 49713
Charlevoix County (231) 535-2822
BEAR RIVER HEALTH
Substance Abuse Rehabilitation Facility
2594 SPRINGVALE RD
BOYNE FALLS, MI 49713
Charlevoix County (231) 838-7155
CHRIS FRASZ
Social Worker (Clinical)
2594 SPRINGVALE RD
BOYNE FALLS, MI 49713
Charlevoix County (231) 535-2822
AARON MARTIS BS, DP
Counselor (Addiction (Substance Use Disorder))
2594 SPRINGVALE RD
BOYNE FALLS, MI 49713
Charlevoix County (231) 535-2822
KIMBERLY O'BRIEN SYLVAIN LLMSW
Social Worker (Clinical)
2594 SPRINGVALE RD
BOYNE FALLS, MI 49713
Charlevoix County (231) 535-2822
MARK ANDREWS LLPC
Counselor (Addiction (Substance Use Disorder))
2594 SPRINGVALE RD
BOYNE FALLS, MI 49713
Charlevoix County (231) 535-2822
SUSAN STUART CRADC
Counselor (Addiction (Substance Use Disorder))
2594 SPRINGVALE RD
BOYNE FALLS, MI 49713
Charlevoix County (231) 535-2822

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 Walloon Lake Recovery Lodge, LLC's NPI number?

The NPI number for Walloon Lake Recovery Lodge, LLC is 1861898918. It was assigned to this organization in the NPPES registry on November 17, 2014.

Where is Walloon Lake Recovery Lodge, LLC located?

Walloon Lake Recovery Lodge, LLC is located at 2594 Springvale Rd, Boyne Falls, MI 49713. The listed phone number is (231) 535-2415.

What is Walloon Lake Recovery Lodge, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Walloon Lake Recovery Lodge, LLC was last updated on November 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.