GREAT LAKES RECOVERY MISSION
NPI 1508748963
Substance Abuse Rehabilitation Facility in Flint, MI

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

The NPI number for Great Lakes Recovery Mission is 1508748963. It was assigned to this organization in the NPPES registry on July 24, 2025.

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

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

Active since July 24, 2025

422 W 6TH AVE, FLINT, MI 48503(810) 487-4676 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Great Lakes Recovery Mission NPPES

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

GREAT LAKES RECOVERY MISSION (NPI 1508748963) is a healthcare organization registered as a substance abuse rehabilitation facility in Flint, Michigan and active in the NPI registry since July 2025. The organization lists Joshua Bukoffsky, Ceo, as its authorized official.

NPPES Registry Identity

NPI1508748963

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameGREAT LAKES RECOVERY MISSION

Location Address422 W 6TH AVEFlint, MI 48503-1348

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

Phone(810) 487-4676

Organization SubpartYes

Authorized OfficialJoshua BukoffskyCeo · (586) 491-1057

Enumeration DateJuly 24, 2025

NPPES CertifiedJuly 24, 2025

✔ NPI 1508748963 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.

422 W 6TH 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

422 W 6TH 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's NPI number?

The NPI number for Great Lakes Recovery Mission is 1508748963. It was assigned to this organization in the NPPES registry on July 24, 2025.

Where is Great Lakes Recovery Mission located?

Great Lakes Recovery Mission is located at 422 W 6th Ave, Flint, MI 48503. The listed phone number is (810) 487-4676.

What is Great Lakes Recovery Mission'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 was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.