Organization
GRAND TRAVERSE AREA COMMUNITY LIVING MANAGEMENT CORPORATION
Active
Organization
GRAND TRAVERSE AREA COMMUNITY LIVING MANAGEMENT CORPORATION
Active
Other names
Brickways
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
251B00000X
Case Management Agency
6401007670
MI
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
6401007670
MI
Other
Enumeration date
05/29/2014
Last updated
01/26/2017
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