Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great Lakes Foundation Inc

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1053249284

Great Lakes Foundation Inc is a Mental Illness Community Based Residential Treatment Facility in Casa Grande, Arizona. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

65 N Pottebaum Rd
Casa Grande, AZ 85122-5326
Phone: (602) 769-2142
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X

Record details

NPI number1053249284
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Follmer — Director · (602) 769-2142
NPI enumeratedMay 9, 2026
Last updated in NPPESMay 9, 2026
Certification dateMay 9, 2026
Mailing address65 N Pottebaum Rd, Casa Grande, AZ 85122-5326

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