Great Lakes Recovery Mission, Llc

LBN: Great Lakes Recovery Mission, Llc
Great Lakes Recovery Mission, Llc is an health care organization with primary practice located at 504 N Grand Traverse St , Flint MI 48503-2536. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Great Lakes Recovery Mission, Llc can be contacted via phone (586) 491-1057, or through Bukoffsky, Joshua via phone (586) 491-1057.

Contact Information

Primary practice address
504 N Grand Traverse St Flint MI 48503-2536
Phone: (586) 491-1057
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bukoffsky, Joshua
Phone: (586) 491-1057

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1184111528
LBN Legal business name Great Lakes Recovery Mission, Llc
DBA Doing business as
Authorized official Bukoffsky, Joshua
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2018
Last updated Dec 9th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers