GREAT LAKES RECOVERY MISSION, LLC – NPI #1962341156
Substance Abuse Rehabilitation Facility

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.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

GREAT LAKES RECOVERY MISSION, LLC is a substance abuse rehabilitation facility located in FLINT, MI. NPPES recently assigned the NPI number 1962341156 to GREAT LAKES RECOVERY MISSION, LLC on March 25, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GREAT LAKES RECOVERY MISSION, LLC below.

NPI Profile for
GREAT LAKES RECOVERY MISSION, LLC

NPI Number
1962341156
Enumeration Date

(about 2 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GREAT LAKES RECOVERY MISSION, LLC
Primary location
702 MASON ST
FLINT, MI 48503-2413
Phone: (810) 487-4676 Fax: (810) 496-4295
Mailing address
5099 W FARRAND RD
CLIO, MI 48420-8215
Phone: (810) 487-4676 Fax: (810) 496-4295
Organization Subpart
No
Authorized Official
JOSHUA BUKOFFSKY
CEO
Phone: (586) 491-1057
Updated
Certification Date
Mar 25, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.