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

Great Lakes Recovery Mission, LLC

Organization Substance Abuse Rehabilitation Facility · NPI 1184423113

Great Lakes Recovery Mission, LLC is a Substance Abuse Rehabilitation Facility in Flint, Michigan. Registered with an NPI since 2025.

In the registry since
2025
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

315 W 2nd Ave
Flint, MI 48503-2540
Phone: (810) 487-4676
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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

Record details

NPI number1184423113
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGreat Lakes Recovery Mission, LLC
Authorized official Joshua Bukoffsky — Ceo · (586) 491-1057
NPI enumeratedMarch 11, 2025
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025
Mailing address5099 W Farrand Rd, Clio, MI 48420-8215

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