| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1063171593 | GREAT LAKES RECOVERY MISSION, LLC | 5099 W FARRAND RD | CLIO | MI | 484208215 | |||
| 1184111528 | GREAT LAKES RECOVERY MISSION, LLC | 5099 W FARRAND RD | CLIO | MI | 484208215 | |||
| 1427717941 | GREAT LAKES RECOVERY MISSION, LLC | 5099 W FARRAND RD | CLIO | MI | 484208215 | |||
| 1518626035 | GREAT LAKES RECOVERY MISSION, LLC | 5099 W FARRAND RD | CLIO | MI | 484208215 | |||
| 1790444214 | GREAT LAKES RECOVERY MISSION, LLC | 5099 W FARRAND RD | CLIO | MI | 484208215 |