Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Great Lakes Recovery Mission, LLC

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1184111528

Great Lakes Recovery Mission, LLC is a Substance Use Disorder Rehabilitation Clinic/Center in Flint, Michigan. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

504 N Grand Traverse St
Flint, MI 48503-2536
Phone: (586) 491-1057
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X

Record details

NPI number1184111528
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joshua Bukoffsky — Chief Executive Officer · (586) 491-1057
NPI enumeratedApril 20, 2018
Last updated in NPPESDecember 9, 2021
Certification dateDecember 9, 2021
Mailing address5099 W Farrand Rd, Clio, MI 48420-8215

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