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Great Lakes Recovery Mission, LLC

Substance Abuse Rehabilitation Facility in Flint, MI · enumerated 2021 · authorized official Joshua Bukoffsky, Chief Executive Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1518626035

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Registry record

Entity type Organization (Type 2)
Legal business name Great Lakes Recovery Mission, LLC
Parent organization Great Lakes Recovery Mission, LLC
Practice address 622 N Grand Traverse St, Flint, MI, 48503
Enumeration date Dec 13, 2021
Last updated in NPPES Dec 13, 2021

Taxonomy & classification

324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities Primary

Authorized official

Name Joshua Bukoffsky
Title Chief Executive Officer

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-12-13. Verify at npiregistry.cms.hhs.gov.
Where is Great Lakes Recovery Mission, LLC located?
The practice location on file with NPPES is in Flint, MI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-12-13.