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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