NPI 1053249284
Great Lakes Foundation INC
Practice location
- Address
- 65 N Pottebaum Rd, Casa Grande, AZ 85122-5326
- Phone
- (602) 769-2142
Authorised official
- Name
- Steven of Follmer
- Title
- Director
- Phone
- (602) 769-2142
Registered specialties (2)
Substance Abuse Rehabilitation Facility
Primary
Mental Illness Community Based Residential Treatment Facility
Registry record
- NPI
- 1053249284
- Entity type
- Organization
- NPI issued
- 9 May 2026
- Record last updated
- 9 May 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.