NPI

Great Lakes Recovery Mission, LLC

Phone (810) 275-2690 · NPI 1790444214

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2021-12-13
Last updated
2021-12-13

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Specialties

Licenses

The registry row did not include a license.

Location

Practice location
427 W 4th Ave
City
Flint MI
Postal code
48503-2403
Phone
(810) 275-2690

Organization contact

Name
Joshua Bukoffsky
Title
Chief Executive Officer
Phone
(586) 491-1057

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

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Other NPIs in Flint, MI. 7,713 records in the public file.

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