NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1063171593 |   |   |   | GREAT LAKES RECOVERY MISSION, LLC | 5099 W FARRAND RD | CLIO | MI | 484208215 |
1427717941 |   |   |   | GREAT LAKES RECOVERY MISSION, LLC | 5099 W FARRAND RD | CLIO | MI | 484208215 |
1518626035 |   |   |   | GREAT LAKES RECOVERY MISSION, LLC | 5099 W FARRAND RD | CLIO | MI | 484208215 |
1790444214 |   |   |   | GREAT LAKES RECOVERY MISSION, LLC | 5099 W FARRAND RD | CLIO | MI | 484208215 |
1336566413 | BUKOFFSKY | HALEY |   |   | 2100 HEMMETER RD | SAGINAW | MI | 486033944 |