Organization
GREAT LAKES RECOVERY MISSION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA BUKOFFSKY (CEO)
(586) 491-1057
Entity
Organization
Contact information
Practice address
702 MASON ST, FLINT, MI 48503-2413
(810) 487-4676
(810) 496-4295
Mailing address
5099 W FARRAND RD, CLIO, MI 48420-8215
(810) 487-4676
(810) 496-4295
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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