GREAT LAKES RECOVERY MISSION LLC NPI 1063171593

NPI Information

GREAT LAKES RECOVERY MISSION, LLC is a substance abuse rehabilitation facility in Flint, MI. The provider is 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. GREAT LAKES RECOVERY MISSION, LLC NPI is 1063171593. The provider is registered as an organization entity type.

The provider's business location address is:

433 W 4TH AVE
FLINT, MI
ZIP 48503-403
Phone: (810) 275-2690

The provider's authorized official is Joshua Bukoffsky .
The authorized official title is Chief Executive Officer and has the following contact phone number (586) 491-1057.

The enumeration date for this NPI number is 12/13/2021 and was last updated on 12/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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