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Organization
GRAND TRAVERSE AREA COMMUNITY LIVING CENTERS NON PROFIT HOUSING CORPOR
Active
Organization
GRAND TRAVERSE AREA COMMUNITY LIVING CENTERS NON PROFIT HOUSING CORPOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN R ONAN (EXECUTIVE DIRECTOR)
(231) 932-9030
Entity
Organization
Contact information
Practice address
935 BARLOW ST, TRAVERSE CITY, MI 49686-4250
(231) 932-9030
(231) 941-3421
Mailing address
935 BARLOW ST, TRAVERSE CITY, MI 49686-4250
(231) 932-9030
(231) 941-3421
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
AL280006975
MI
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
AL280006975
MI
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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