OrganizationActive
Great Lakes Recovery Mission, LLC
NPI 1427717941 · Substance Abuse Rehabilitation Facility · Flint, MI
Provider details
- NPI number
- 1427717941
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Parent organization
- Great Lakes Recovery Mission, LLC
- Organization subpart
- Yes
- Authorized official
- Joshua Bukoffsky, Chief Executive Officer(586) 491-1057
Specialties & taxonomies
Residential Treatment Facilities
Practice location
712 N Grand Traverse St
Flint, MI 48503-2409
Phone: (810) 275-2690
Approximate (ZIP-level) locationGet directions
Mailing address
5099 W Farrand Rd
Clio, MI 48420-8215
Registry dates
- Enumerated
- 2021-12-13
- Last updated
- 2021-12-13
- Certified
- 2021-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.