Great Lakes Recovery Mission, LLC

NPI #1518743269 in Sandusky, Michigan

Provider Information

NPI Number
1518743269
Entity Type
Organization
Organization Name
Great Lakes Recovery Mission, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
GREAT LAKES RECOVERY MISSION, LLC
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Sep 7, 2023
Last Updated
Sep 7, 2023

Practice Location

Address
110 N ELK ST
ZIP Code
48471-1105
Phone
(810) 487-4676

Authorized Official

Name
JOSHUA BUKOFFSKY
Title
CEO
Phone
(586) 491-1057

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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