Organization · Type 2 NPI
Great Lakes Recovery Center LLC
Substance Abuse Rehabilitation Facility · Fremont, OH
NPI number
1497376735
Active
Practice location
2575 Hayes Ave
Fremont, OH 43420-5201
Mailing address
441 N Broadway St
Green Springs, OH 44836-9689
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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.
10 other providers at this address
- Jonathan F. Diller, M.d., Inc.Family Medicine Physician Fremont, OH NPI 1184640658
- Christopher Juan Jordan, LPCC-SAddiction (Substance Use Disorder) Counselor Fremont, OH NPI 1073913455
- Clara ProehlAddiction (Substance Use Disorder) Counselor Fremont, OH NPI 1427819200
- Dawn Renae HumphreyAddiction (Substance Use Disorder) Counselor Fremont, OH NPI 1275293953
- Howard G. Stierwalt, MDFamily Medicine Physician Fremont, OH NPI 1568441798
- John Joseph Hiestand, MDInternal Medicine Physician Fremont, OH NPI 1821085952
- John Lee HolbrookAddiction (Substance Use Disorder) Counselor Fremont, OH NPI 1790551638
- Mandi Elizabeth Jester, MSW, LSWSocial Worker Fremont, OH NPI 1942033477
- Marissa Kay Dingledine, CDCAAddiction (Substance Use Disorder) Counselor Fremont, OH NPI 1154197093
- Meridith Elise Brinkman, LSWClinical Social Worker Fremont, OH NPI 1336915271
Other substance abuse rehabilitation facility providers in Fremont
About NPI 1497376735
Great Lakes Recovery Center LLC's National Provider Identifier is 1497376735, issued on Apr 28, 2020. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Fremont, OH. The record was last updated on Oct 29, 2025.