GREAT LAKES RECOVERY MISSION, LLC
NPI 1184423113
Substance Abuse Rehabilitation Facility in Flint, MI

Q: What is Great Lakes Recovery Mission, LLC's NPI number?

The NPI number for Great Lakes Recovery Mission, LLC is 1184423113. It was assigned to this organization in the NPPES registry on March 11, 2025.

Q: What is Great Lakes Recovery Mission, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since March 11, 2025

315 W 2ND AVE, FLINT, MI 48503(810) 487-4676 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Great Lakes Recovery Mission, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT LAKES RECOVERY MISSION, LLC (NPI 1184423113) is a healthcare organization registered as a substance abuse rehabilitation facility in Flint, Michigan and active in the NPI registry since March 2025. The organization lists Joshua Bukoffsky, Ceo, as its authorized official.

NPPES Registry Identity

NPI1184423113

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameGREAT LAKES RECOVERY MISSION, LLC

Location Address315 W 2ND AVEFlint, MI 48503-2540

Mailing Address5099 W Farrand RdClio, MI 48420-8215 · (586) 491-1057

Phone(810) 487-4676

Organization SubpartYes

Authorized OfficialJoshua BukoffskyCeo · (586) 491-1057

Enumeration DateMarch 11, 2025

NPPES CertifiedMarch 11, 2025

✔ NPI 1184423113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

315 W 2ND AVE, Flint, MI 48503

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREAT LAKES RECOVERY MISSION, LLC

Substance Abuse Rehabilitation Facility

315 W 2ND AVE
FLINT, MI 48503

Genesee County (810) 487-4676

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Lakes Recovery Mission, LLC's NPI number?

The NPI number for Great Lakes Recovery Mission, LLC is 1184423113. It was assigned to this organization in the NPPES registry on March 11, 2025.

Where is Great Lakes Recovery Mission, LLC located?

Great Lakes Recovery Mission, LLC is located at 315 W 2nd Ave, Flint, MI 48503. The listed phone number is (810) 487-4676.

What is Great Lakes Recovery Mission, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Great Lakes Recovery Mission, LLC was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.