NPI 1184423113
Great Lakes Recovery Mission, LLC
Practice location
- Address
- 315 W 2nd Ave, Flint, MI 48503-2540
- Phone
- (810) 487-4676
- Mailing address
- 5099 W Farrand Rd, Clio, MI 48420-8215
Authorised official
- Name
- Joshua Bukoffsky
- Title
- Ceo
- Phone
- (586) 491-1057
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1184423113
- Entity type
- Organization
- NPI issued
- 11 Mar 2025
- Record last updated
- 11 Mar 2025
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.