Organization
GREAT LAKES RECOVERY MISSION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA BUKOFFSKY (CHIEF EXECUTIVE OFFICER)
(586) 491-1057
Entity
Organization
Contact information
Practice address
504 N GRAND TRAVERSE ST, FLINT, MI 48503-2536
(586) 491-1057
Mailing address
5099 W FARRAND RD, CLIO, MI 48420-8215
(586) 491-1057
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/20/2018
Last updated
12/09/2021
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