Organization
GREAT LAKES RECOVERY MISSION, LLC
Active
Parent organization
GREAT LAKES RECOVERY MISSION, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREAT LAKES RECOVERY MISSION, LLC
Authorized official
JOSHUA BUKOFFSKY (CEO)
(586) 491-1057
Entity
Organization
Contact information
Practice address
422 W 6TH AVE, FLINT, MI 48503-1348
(810) 487-4676
Mailing address
5099 W FARRAND RD, CLIO, MI 48420-8215
(810) 487-4676
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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