Organization
GRAND TRAVERSE COUNTY HEALTH DEPARTMENT
Active
Parent organization
GRAND TRAVERSE COUNTY
Other names
K-Town Youth Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRAND TRAVERSE COUNTY
Authorized official
ERIN CARLSON (ACCOUNTING TECHNICIAN)
(231) 995-6103
Entity
Organization
Contact information
Practice address
112 S BROWNSON AVE, KINGSLEY, MI 49649
(231) 263-5895
Mailing address
2600 LAFRANIER RD STE A, TRAVERSE CITY, MI 49686-4765
(231) 995-6111
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/19/2010
Last updated
09/12/2016
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