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

Great Lakes Recovery Mission, LLC

Organization Substance Abuse Rehabilitation Facility · NPI 1790444214

Great Lakes Recovery Mission, LLC is a Substance Abuse Rehabilitation Facility in Flint, Michigan. Registered with an NPI since 2021.

In the registry since
2021
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

427 W 4th Ave
Flint, MI 48503-2403
Phone: (810) 275-2690
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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 number1790444214
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGreat Lakes Recovery Mission, LLC
Authorized official Joshua Bukoffsky — Chief Executive Officer · (586) 491-1057
NPI enumeratedDecember 13, 2021
Last updated in NPPESDecember 13, 2021
Certification dateDecember 9, 2021
Mailing address5099 W Farrand Rd, Clio, MI 48420-8215

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