GREAT LAKES RECOVERY MISSION, LLC
NPI 1962341156
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 1962341156. It was assigned to this organization in the NPPES registry on March 25, 2026.

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 25, 2026

702 MASON ST, FLINT, MI 48503(810) 487-4676(810) 496-4295 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

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 1962341156) is a healthcare organization registered as a substance abuse rehabilitation facility in Flint, Michigan and active in the NPI registry since March 2026. The organization lists Joshua Bukoffsky, Ceo, as its authorized official.

NPPES Registry Identity

NPI1962341156

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameGREAT LAKES RECOVERY MISSION, LLC

Location Address702 MASON STFlint, MI 48503-2413

Mailing Address5099 W Farrand RdClio, MI 48420-8215 · (810) 487-4676 · Fax (810) 496-4295

Phone(810) 487-4676

Fax(810) 496-4295

Organization SubpartNo

Authorized OfficialJoshua BukoffskyCeo · (586) 491-1057

Enumeration DateMarch 25, 2026

NPPES CertifiedMarch 25, 2026

✔ NPI 1962341156 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.

702 MASON ST, Flint, MI 48503

Open in Google Maps ↗

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 1962341156. It was assigned to this organization in the NPPES registry on March 25, 2026.

Where is Great Lakes Recovery Mission, LLC located?

Great Lakes Recovery Mission, LLC is located at 702 Mason St, 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 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.