NPI 1184111528

Great Lakes Recovery Mission, LLC

Organisation Substance Abuse Rehabilitation Facility Flint, MI

Practice location

Address: 504 N Grand Traverse St, Flint, MI 48503-2536
Phone: (586) 491-1057
Mailing address: 5099 W Farrand Rd, Clio, MI 48420-8215

Authorised official

Name: Joshua Bukoffsky
Title: Chief Executive Officer
Phone: (586) 491-1057

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Michigan →

Substance Use Disorder Rehabilitation Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QR0405X

Other Clinic/Center providers in Michigan →

Registry record

NPI: 1184111528
Entity type: Organization
NPI issued: 20 Apr 2018
Record last updated: 9 Dec 2021

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.