Organization · Type 2 NPI
Great Lakes Foundation Inc
Substance Abuse Rehabilitation Facility · Casa Grande, AZ
NPI number
1053249284
Active
Practice location
65 N Pottebaum Rd
Casa Grande, AZ 85122-5326
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | None listed |
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: 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.
Another provider at this address
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About NPI 1053249284
Great Lakes Foundation Inc's National Provider Identifier is 1053249284, issued on May 9, 2026. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Casa Grande, AZ. The record was last updated on May 9, 2026.